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<section article="gin" article_name="Insurance" number="31-104" title_number="31" title_name="Maryland Health Benefit Exchange" subtitle_number="1" subtitle_name="Maryland Health Benefit Exchange">
  <level label="a">
    <text>There is a Board of Trustees of the Exchange.</text>
  </level>
  <level label="b">
    <text>The Board consists of the following members:</text>
    <level label="1">
      <text>the Secretary of Health;</text>
    </level>
    <level label="2">
      <text>the Commissioner;</text>
    </level>
    <level label="3">
      <text>the Executive Director of the Maryland Health Care Commission; and</text>
    </level>
    <level label="4">
      <text>the following members appointed by the Governor, with the advice and consent of the Senate:</text>
      <level label="i">
        <text>three members who:</text>
        <level label="1">
          <text>represent the interests of employers and individual consumers of products offered by the Exchange; and</text>
        </level>
        <level label="2">
          <text>may have public health research expertise; and</text>
        </level>
      </level>
      <level label="ii">
        <text>three members who have demonstrated knowledge and expertise in at least two of the following areas:</text>
        <level label="1">
          <text>individual health care coverage;</text>
        </level>
        <level label="2">
          <text>small employer–sponsored health care coverage;</text>
        </level>
        <level label="3">
          <text>health benefit plan administration;</text>
        </level>
        <level label="4">
          <text>health care finance;</text>
        </level>
        <level label="5">
          <text>administration of public or private health care delivery systems;</text>
        </level>
        <level label="6">
          <text>purchasing and facilitating enrollment in health plan coverage, including demonstrated knowledge and expertise about the role of licensed health insurance producers and third–party administrators in connecting employers and individual consumers to health plan coverage; and</text>
        </level>
        <level label="7">
          <text>public health and public health research, including knowledge about the health needs and health disparities among the State’s diverse communities.</text>
        </level>
      </level>
    </level>
  </level>
  <level label="c">
    <text>In making appointments of members under subsection (b)(4) of this section, the Governor shall assure that:</text>
    <level label="1">
      <text>the Board’s composition reflects a diversity of expertise;</text>
    </level>
    <level label="2">
      <text>the Board’s composition reflects the gender, racial, and ethnic diversity of the State; and</text>
    </level>
    <level label="3">
      <text>the geographic areas of the State are represented.</text>
    </level>
  </level>
  <level label="d">
    <level label="1">
      <text>For purposes of this subsection, “affiliation” means:</text>
      <level label="i">
        <text>a financial interest, as defined in § 5–101 of the General Provisions Article;</text>
      </level>
      <level label="ii">
        <text>a position of governance, including membership on a board of directors, regardless of compensation;</text>
      </level>
      <level label="iii">
        <text>a relationship through which compensation, as defined in § 5–101 of the General Provisions Article, is received; or</text>
      </level>
      <level label="iv">
        <text>a relationship for the provision of services as a regulated lobbyist, as defined in § 5–101 of the General Provisions Article.</text>
      </level>
    </level>
    <level label="2">
      <text>A member of the Board or of the staff of the Exchange, while serving on the Board or the staff, may not have an affiliation with:</text>
      <level label="i">
        <text>a carrier, an insurance producer, a third–party administrator, a managed care organization, or any other person contracting directly with the Exchange;</text>
      </level>
      <level label="ii">
        <text>a trade association of carriers, insurance producers, third–party administrators, or managed care organizations; or</text>
      </level>
      <level label="iii">
        <text>any other association of entities in a position to contract directly with the Exchange.</text>
      </level>
    </level>
  </level>
  <level label="e">
    <level label="1">
      <text>The term of a member appointed by the Governor is 4 years.</text>
    </level>
    <level label="2">
      <text>The terms of members appointed by the Governor are staggered as required by the terms provided for members of the Board on June 1, 2011.</text>
    </level>
    <level label="3">
      <text>At the end of a term, a member continues to serve until a successor is appointed and qualifies.</text>
    </level>
    <level label="4">
      <text>A member who is appointed after a term has begun serves only for the rest of the term and until a successor is appointed and qualifies.</text>
    </level>
  </level>
  <level label="f">
    <text>An appointed member of the Board may not serve more than two consecutive full terms.</text>
  </level>
  <level label="g">
    <text>The Governor shall designate a chair of the Board.</text>
  </level>
  <level label="h">
    <level label="1">
      <text>The Board shall determine the times, places, and frequency of its meetings.</text>
    </level>
    <level label="2">
      <text>Five members of the Board constitute a quorum.</text>
    </level>
    <level label="3">
      <text>Action by the Board requires the affirmative vote of at least five members.</text>
    </level>
  </level>
  <level label="i">
    <text>A member of the Board is entitled to reimbursement for expenses under the Standard State Travel Regulations, as provided in the State budget.</text>
  </level>
  <level label="j">
    <text>A member shall:</text>
    <level label="1">
      <text>meet the requirements of this subtitle, the Affordable Care Act, and all applicable State and federal laws and regulations;</text>
    </level>
    <level label="2">
      <text>serve the public interest of the individuals and qualified employers seeking health care coverage through the Exchange; and</text>
    </level>
    <level label="3">
      <text>ensure the sound operation and fiscal solvency of the Exchange.</text>
    </level>
  </level>
  <level label="k">
    <text>A member of the Board shall perform the member’s duties:</text>
    <level label="1">
      <text>in good faith;</text>
    </level>
    <level label="2">
      <text>in the manner the member reasonably believes to be in the best interests of the Exchange; and</text>
    </level>
    <level label="3">
      <text>without intentional or reckless disregard of the care an ordinarily prudent person in a like position would use under similar circumstances.</text>
    </level>
  </level>
  <level label="l">
    <text>A member of the Board who performs the member’s duties in accordance with the standard provided in subsection (k) of this section may not be liable personally for actions taken as a member.</text>
  </level>
  <level label="m">
    <text>A member of the Board may be removed for incompetence, misconduct, or failure to perform the duties of the position.</text>
  </level>
  <level label="n">
    <level label="1">
      <level label="i">
        <text>A member of the Board shall be subject to the Maryland Public Ethics Law, Title 5, Subtitles 1 through 7 of the General Provisions Article.</text>
      </level>
      <level label="ii">
        <text>In addition to the disclosure required under Title 5, Subtitle 6 of the General Provisions Article, a member of the Board shall disclose to the Board and to the public any relationship not addressed in the required financial disclosure that the member has with a carrier, insurance producer, third–party administrator, managed care organization, or other entity in an industry involved in matters likely to come before the Board.</text>
      </level>
    </level>
    <level label="2">
      <text>On all matters that come before the Board, the member shall:</text>
      <level label="i">
        <text>adhere strictly to the conflict of interest provisions under Title 5, Subtitle 5 of the General Provisions Article relating to restrictions on participation, employment, and financial interests; and</text>
      </level>
      <level label="ii">
        <text>provide full disclosure to the Board and the public on:</text>
        <level label="1">
          <text>any matter that gives rise to a potential conflict of interest; and</text>
        </level>
        <level label="2">
          <text>the manner in which the member will comply with the provisions of Title 5, Subtitle 5 of the General Provisions Article to avoid any conflict of interest or appearance of a conflict of interest.</text>
        </level>
      </level>
    </level>
  </level>
</section>
