Chapter 04. Insurance Producer Authorization to Sell Qualified Plans in the SHOP Exchange and Individual Exchange
Regulation .01 Scope.LinkCopy Citation
This chapter sets forth the qualifications, training, and authorization standards for an individual who applies to receive a Small Business Health Options (SHOP) insurance producer authorization or an Individual Exchange insurance producer authorization and is required under Insurance Article, §§31-112(g)(2) and 31-113(n)(2), Annotated Code of Maryland, to hold such an authorization to sell qualified plans within the SHOP Exchange or Individual Exchange.
Regulation .02 Eligibility Requirements.LinkCopy Citation
To be eligible to apply for initial insurance producer authorization, an applicant shall:
A.
Be licensed by the Maryland Insurance Commissioner as an insurance producer authorized to sell health insurance; and
B.
Successfully complete and comply with any ongoing requirements of the training programs set forth under Regulation .04 of this chapter.
Regulation .03 Application Procedures.LinkCopy Citation
A.
In order to obtain a SHOP Exchange insurance producer authorization or Individual Exchange insurance producer authorization, the applicant shall submit to the Exchange:
(1)
An application on the form provided by the Exchange;
(2)
An attestation that the applicant will notify the Exchange of any changes to information the applicant provides or to which the applicant attests on the application form within 30 days of such change;
(3)
An application fee if permitted by law and in the manner specified by the Exchange;
(4)
Evidence that the applicant is licensed by the Maryland Insurance Commissioner as an insurance producer authorized to sell health insurance;
(5)
Evidence of the written consent required under COMAR 31.03.12, if applicable; and
(6)
Evidence that the applicant has successfully completed the:
(a)
SHOP Exchange insurance producer authorization training if the applicant is applying for a SHOP Exchange insurance producer authorization; or
(b)
Individual Exchange Producer Authorization training if the applicant is applying for an Individual Exchange insurance producer authorization.
B.
The Exchange may not consider an application to be complete until it has received all required materials.
C.
If the application is not completed with all required materials within 45 days after the Exchange receives the signed application form, the Exchange may consider the application withdrawn.
Regulation .04 Training.LinkCopy Citation
A.
An applicant for the SHOP Exchange insurance producer authorization shall complete the Exchange-approved SHOP insurance producer authorization training.
B.
An applicant for the Individual Exchange insurance producer authorization shall complete the Commissioner-approved Individual Exchange insurance producer authorization training.
C.
The Exchange shall review, and as appropriate update, the content of the SHOP insurance producer authorization training program on a schedule established by the Exchange.
D.
The Exchange, with the approval of the Commissioner, shall review, and as appropriate update, the content of the Individual Exchange insurance producer authorization training program at least every 2 years.
E.
An applicant for Individual Exchange or SHOP insurance producer authorization shall meet the examination requirements specified under COMAR 14.35.02.04D.
Chapter annotations
Authority: Insurance Article, §§31-106, 31-112(f), (g), and (h), and 31-113(m), (n), and (o), Annotated Code of Maryland
History: Effective date: April 15, 2013 (40:7 Md. R. 612)
History: Regulation .02 amended effective August 18, 2025 (52:16 Md. R. 848)
History: Regulation .04C amended effective June 15, 2020 (47:12 Md. R. 597)
History: Regulation .04E adopted effective August 18, 2025 (52:16 Md. R. 848)