<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.09.43.05" title_num="10" subtitle_num="09" chapter_num="43" heading="Nonfinancial Eligibility Requirements.">
  <paragraph num="A.">
    <text>Citizenship. In order to be eligible for full benefits under MCHP Premium, an applicant shall be one of the following:</text>
    <paragraph num="(1)">
      <text>A citizen of the United States;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A person residing in the United States who is:</text>
      <paragraph num="(a)">
        <text>A qualified alien as defined under Regulation .02B of this chapter;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An honorably discharged veteran of the armed forces of the United States;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>An alien on active duty in the armed forces of the United States; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The spouse, including a surviving spouse who has not remarried, or unmarried dependent child of an honorably discharged veteran of or alien on active duty in the armed forces of the United States;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>An individual residing in the United States who is:</text>
      <paragraph num="(a)">
        <text>An alien who has been granted asylum under §208 of the Immigration and Nationality Act;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A refugee admitted into the United States under §207 of the Immigration and Nationality Act;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>An alien whose deportation has been withheld under §243(h) of the Immigration and Nationality Act;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>A Cuban or Haitian entrant;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>An alien admitted to the country for permanent residence as an Amerasian immigrant under Title II of the Foreign Operations, Export Financing and Related Programs Appropriations Act of 1989;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>A legal permanent resident who first entered the country under another exempt category, that is, as a refugee, asylee, Cuban or Haitian entrant, trafficking victim, or alien whose deportation was being withheld, and who later converted to legal permanent resident status;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>A victim of a severe form of trafficking who has been subjected to:</text>
        <paragraph num="(i)">
          <text>Sex trafficking, if the act is induced by force, fraud, or coercion, or if the individual induced to perform the act is younger than 18 years old; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Involuntary servitude;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(h)">
        <text>An honorably discharged veteran of the armed forces of the United States;</text>
      </paragraph>
      <paragraph num="(i)">
        <text>An alien on active duty in the armed forces of the United States; or</text>
      </paragraph>
      <paragraph num="(j)">
        <text>A spouse, including a surviving spouse who has not remarried, or unmarried dependent child of an honorably discharged veteran or alien on active duty in the armed forces of the United States; or</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>An individual residing in the United States who is a qualified alien as defined under Regulation .02B of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Residency. The requirements relating to residency under COMAR 10.09.24.05-3 apply to this chapter.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Age. In order to be eligible for benefits, under this chapter a child shall be younger than 19 years old.</text>
  </paragraph>
  <paragraph num="D.">
    <text>Inmate of a Public Institution. In order to receive benefits under this chapter, an applicant may not be an inmate of a public institution.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Institution for Mental Diseases or Mental Hospital. An applicant who is a patient in an institution for mental diseases or mental hospital is not eligible for benefits under this chapter.</text>
  </paragraph>
  <paragraph num="F.">
    <text>Access to or Coverage under Other Health Benefit Plans.</text>
    <paragraph num="(1)">
      <text>Current Coverage. Except for coverage purchased in the context of participating in MCHP Premium, an applicant or recipient is not eligible for MCHP Premium if the applicant or recipient is covered:</text>
      <paragraph num="(a)">
        <text>As a dependent under an employer-sponsored group health plan; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Under health insurance coverage.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Past Coverage. In order to be eligible for benefits under this chapter, an applicant may not be covered by employer-sponsored insurance or have been voluntarily terminated from an employer-sponsored insurance within 6 months before the date of the application, except for coverage purchased in the context of participating in MCHP Premium. Voluntary termination does not include:</text>
      <paragraph num="(a)">
        <text>Loss of employment due to factors other than voluntary termination;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Change to a new employer that does not provide an option for dependent coverage;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Change of address so that no employer-sponsored health benefit plan is available;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Discontinuation of health benefits to all dependents of employees of the parent's or guardian's employer; or</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Expiration of the applicant's continuation of coverage under the Consolidated Omnibus Budget Reconciliation Act (COBRA).</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>Duration of Eligibility. After an individual has been determined to be eligible for MCHP Premium and is enrolled in MCHP Premium:</text>
    <paragraph num="(1)">
      <text>The Department shall periodically redetermine the recipient's eligibility for MCHP Premium as specified in Regulation .15D of this chapter; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The recipient or the recipient's representative shall, within 10 days of the occurrence, notify the Department if there is a change in the recipient's, the recipient's parent's, or the recipient's guardian's:</text>
      <paragraph num="(a)">
        <text>Income;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Employment;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Address; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Health insurance coverage status.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>