<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 14.35.14.03" title_num="14" subtitle_num="35" chapter_num="14" heading="Terminations in General.">
  <paragraph num="A.">
    <text>An enrollee who is the contract holder of a QHP who terminates enrollment in a QHP also terminates the enrollment of the other enrollees in the household.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Each enrollee, who is not the contract holder, may terminate enrollment in a QHP without affecting the enrollment status of the enrollee’s household or each individual member of the enrollee’s household other than the enrollee.</text>
  </paragraph>
  <paragraph num="C.">
    <text>A carrier shall process a request from the contract holder of a QHP to terminate coverage under Regulation .04 of this chapter for all enrollees promptly and without undue delay.</text>
  </paragraph>
  <paragraph num="D.">
    <text>A carrier shall process the Exchange’s termination determination under Regulation .06 of this chapter promptly and without undue delay.</text>
  </paragraph>
  <paragraph num="E.">
    <text>A carrier shall maintain records of termination of enrollment in a QHP in the format specified by the Exchange in an electronic data interchange format for a period of 10 years.</text>
  </paragraph>
  <paragraph num="F.">
    <text>A carrier shall make reasonable accommodations for all individuals with disabilities (as defined by the Americans with Disabilities Act), including head-of-household and non-head-of-household enrollees, before terminating the individual's enrollment.</text>
  </paragraph>
  <paragraph num="G.">
    <text>A carrier shall send an electronic transaction to the Exchange documenting, or acknowledging, each termination of coverage carried out under this chapter, promptly and without undue delay.</text>
  </paragraph>
  <paragraph num="H.">
    <text>In cases of retroactive termination dates, the carrier shall accept the Exchange’s adjusted calculations of APTC, and premiums and changes to the plan variation of the QHP.</text>
  </paragraph>
  <paragraph num="I.">
    <text>A carrier shall confirm the termination of an enrollee’s coverage with a notice provided to the contract holder indicating the enrollees affected by the termination and the effective date of the termination.</text>
  </paragraph>
</regulation>