<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 14.35.12.05" title_num="14" subtitle_num="35" chapter_num="12" heading="Application Procedures.">
  <paragraph num="A.">
    <text>In order to obtain an application counselor sponsoring entity designation, the applicant shall submit to the Maryland Health Benefit Exchange:</text>
    <paragraph num="(1)">
      <text>An application on the form approved by the Maryland Health Benefit Exchange in consultation with the Commissioner and the Maryland Department of Health;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An attestation that the applicant will notify the Maryland Health Benefit Exchange of any changes in information the applicant provides or to which the applicant attests on the application form within 30 days of such change;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>An attestation that the applicant will not impose a fee on individuals for services provided by certified application counselors employed or engaged by the applicant;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>An attestation that the applicant will disclose to the Maryland Health Benefit Exchange and to individuals to whom certified application counselors employed or engaged by the applicant provide services any relationships it has with a carrier, an insurance producer, or a third-party administrator or a managed care organization that participates in the Maryland Medical Assistance Program/Maryland Children’s Health Program;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>An attestation that the applicant will act in the best interest of the individuals for whom the certified application counselors employed or engaged by the applicant are authorized to provided services;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>An attestation that the applicant will not receive compensation from a carrier, insurance producer, managed care organization, or a third-party administrator for application counselor services provided by certified application counselors employed or engaged by the applicant;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>An attestation that the applicant will compensate employed or engaged certified application counselors in the manner approved by the Maryland Health Benefit Exchange working in consultation with the Commissioner and the Maryland Department of Health;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>An attestation that the applicant will not directly or through employed or engaged certified application counselors provide monetary or other financial incentives to individuals to apply for health insurance coverage through Maryland Health Connection;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>An attestation that the applicant will not receive compensation from the Maryland Health Benefit Exchange for certified application counselor services;</text>
    </paragraph>
    <paragraph num="(10)">
      <text>An attestation that the applicant will monitor the performance of its certified application counselors in accordance with the requirements set forth by the Maryland Health Benefit Exchange;</text>
    </paragraph>
    <paragraph num="(11)">
      <text>An attestation that the applicant will enforce the required agreement set forth under Regulation .03D of this chapter;</text>
    </paragraph>
    <paragraph num="(12)">
      <text>An attestation that the applicant will oversee employed or engaged certified application counselors pursuant to the oversight plan approved by the Maryland Health Benefit Exchange, in consultation with the Commissioner and the Maryland Department of Health;</text>
    </paragraph>
    <paragraph num="(13)">
      <text>An attestation that the applicant will comply with all applicable federal and State privacy and security standards, and will ensure that its certified application counselors also comply with these standards;</text>
    </paragraph>
    <paragraph num="(14)">
      <text>An attestation that the applicant will operate within its scope of authority and ensure that it and its certified application counselors comply with the requirements set forth under Regulation .04 of this chapter;</text>
    </paragraph>
    <paragraph num="(15)">
      <text>An attestation that the applicant will comply with any applicable requirements of the Maryland Department of Health and the Commissioner; and</text>
    </paragraph>
    <paragraph num="(16)">
      <text>An application fee to the extent permitted by law and in the manner specified by the Maryland Health Benefit Exchange, if applicable.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The Maryland Health Benefit Exchange may not consider an application to be complete until it has received all required materials.</text>
  </paragraph>
  <paragraph num="C.">
    <text>If the application is not completed with all required materials within 45 days after the Maryland Health Benefit Exchange receives the signed application form, the Maryland Health Benefit Exchange may consider the application withdrawn.</text>
  </paragraph>
  <paragraph num="D.">
    <text>The Maryland Health Benefit Exchange shall approve or deny an application within 45 days after its completion and receipt of all required materials.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Approval of an application will be contingent on the applicant’s execution of a designation agreement, in the form presented by the Maryland Health Benefit Exchange working in consultation with the Commissioner and the Maryland Department of Health.</text>
  </paragraph>
  <paragraph num="F.">
    <text>The Maryland Health Benefit Exchange may exercise its discretion in approving an application and designating an entity as an application counselor sponsoring entity, taking into consideration:</text>
    <paragraph num="(1)">
      <text>The applicant’s ability to satisfy the requirements set forth in the application; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The resources, oversight capacity, and needs of the Maryland Health Benefit Exchange, the Connector Program, the Maryland Insurance Administration, the Maryland Department of Health, and other outreach and enrollment efforts.</text>
    </paragraph>
  </paragraph>
</regulation>