<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".02" citation="COMAR 14.35.10.02" title_num="14" subtitle_num="35" chapter_num="10" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Administrative law judge” has the meaning set forth under COMAR 28.02.01.02B(1).</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Board means the Maryland Health Benefit Exchange Board of Trustees.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Contested Case.</text>
      <paragraph num="(a)">
        <text>Contested case” has the meaning stated in State Government Article, §10-202(d), Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Contested case” includes a proceeding:</text>
        <paragraph num="(i)">
          <text>Arising out of a determination made by the Board;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Regarding an authorization, certification, or permit issued by the Exchange; or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Arising out of any act of or failure to act by the Board, involving an authorization or a certification issued by the Exchange, that aggrieves a person.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>“Contested case” does not include any other quasi-legislative hearing.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Determination.</text>
      <paragraph num="(a)">
        <text>“Determination” means a decision by the Board that requires the Board to provide the opportunity for a hearing to a person aggrieved by the decision.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Determination” includes:</text>
        <paragraph num="(i)">
          <text>A decision as to whether a person against whom an administrative complaint has been received violated a law, regulation, or order; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>An order issued pursuant to the Board’s authority.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>“Exchange” means the Maryland Health Benefit Exchange.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Executive Director” means the Executive Director of the Maryland Health Benefit Exchange, appointed pursuant to Insurance Article, §31-105, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Hearing officer” means the Board or the Board’s authorized designee.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Maryland Health Benefit Exchange” has the meaning set forth under Insurance Article, §31-101(e), Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Office” means the Office of Administrative Hearings.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Person” has the meaning set forth under COMAR 28.02.01.02B(12).</text>
    </paragraph>
  </paragraph>
</regulation>