<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".13" citation="COMAR 14.35.07.13" title_num="14" subtitle_num="35" chapter_num="07" heading="Special Enrollment Periods — Change in Family Status Through the Individual Exchange.">
  <paragraph num="A.">
    <text>A qualified individual, an enrollee, a qualified individual’s dependent, and an enrollee’s dependent are eligible for a special enrollment period for change in family status if the qualified individual or enrollee gains a dependent or becomes a dependent through:</text>
    <paragraph num="(1)">
      <text>Marriage;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Birth;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Adoption;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Placement for adoption;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Placement in foster care;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>A child support order; or</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Other court order.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>An enrollee is eligible for a special enrollment period for change in family status if the enrollee loses a dependent or is no longer considered a dependent through:</text>
    <paragraph num="(1)">
      <text>Divorce;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Legal separation; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Death.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Family status changes shall be determined in accordance with the law of the state where the change in family status occurred.</text>
  </paragraph>
  <paragraph num="D.">
    <text>If eligible for a special enrollment period under this regulation, a qualified individual, an enrollee, a qualified individual’s dependent or an enrollee’s dependent shall select a QHP within 60 days of the change in family status under §§A and B of this regulation.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Enrollment in a QHP selected by a qualified individual, an enrollee, the qualified individual’s dependent, or the enrollee’s dependent during a special enrollment period under this regulation shall be effective:</text>
    <paragraph num="(1)">
      <text>For marriages, the first day of the month following the date that the Individual Exchange receives the QHP selection;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>For birth, adoption, placement for adoption, placement in foster care, or court order, on a date chosen by the qualified individual or enrollee that is either:</text>
      <paragraph num="(a)">
        <text>The date of birth, adoption, placement for adoption, placement in foster care, or effective date of court order; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The first day of the month following the date that the Individual Exchange receives the QHP selection;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>In the case of death, the first day of the month following the date that the Individual Exchange receives the QHP selection; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>For divorces or legal separation:</text>
      <paragraph num="(a)">
        <text>Before January 1, 2025:</text>
        <paragraph num="(i)">
          <text>The first date of the following month for QHP selections received by the Individual Exchange between the first and the 15th day of the month; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The first day of the next following month for QHP selections received by the Individual Exchange between the 16th and the last day of a month; or</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>On or after January 1, 2025, the first day of the month following the date that the Individual Exchange receives the QHP selection.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>