<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 14.35.14.04" title_num="14" subtitle_num="35" chapter_num="14" heading="Enrollee-Initiated Terminations — In General.">
  <paragraph num="A.">
    <text>An enrollee may terminate the enrollee’s coverage in a QHP at any time within a month for a termination effective at the end of the month.</text>
  </paragraph>
  <paragraph num="B.">
    <text>An enrollee may request a termination of the enrollee’s coverage in a QHP by providing notice to the Exchange or the enrollee’s QHP carrier as follows:</text>
    <paragraph num="(1)">
      <text>Enrollees seeking to terminate coverage for an enrollee or enrollees on a QHP shall provide notice to the Exchange; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Enrollees seeking to terminate coverage for the enrollee’s household may notify either the Exchange or the QHP carrier.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Date of Terminations. If the enrollee provides notice to the Exchange or the carrier on any day within the month, the date of termination is the end of the month.</text>
  </paragraph>
  <paragraph num="D.">
    <text>If an enrollee terminates coverage in one QHP because the enrollee elects enrollment in a different QHP, coverage in the original qualified health plan ends at midnight the day before the effective date of coverage in the enrollee’s new QHP.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Death.</text>
    <paragraph num="(1)">
      <text>In the case of a termination due to death, the last day of enrollment in a QHP through the Exchange is the date of death.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Any applicable premium refund, or premium due, shall be processed by the deceased enrollee's QHP in accordance with State law.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Notice of the enrollee’s death may be provided to the Exchange or the deceased enrollee’s QHP by:</text>
      <paragraph num="(a)">
        <text>The policyholder under COMAR 31.10.01.02B(7), or subscriber under COMAR 31.12.02.02B(11), of the deceased enrollee’s QHP;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An enrollee who is 18 years or older and enrolled in the same QHP policy of the deceased enrollee; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The authorized representative of an enrollee under COMAR 14.35.11.14.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Retroactive Terminations.</text>
    <paragraph num="(1)">
      <text>An enrollee may retroactively terminate or cancel the enrollee's coverage or enrollment in a QHP when the enrollee:</text>
      <paragraph num="(a)">
        <text>Demonstrates to the Exchange that the enrollee enrolled in Medicare Part A or B coverage with a retroactive effective date; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Requests retroactive termination of QHP coverage within 60 days of the enrollment.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The effective date of the retroactive termination must be no earlier than the later of the day before the first day of coverage under Medicare Part A or B, and the day that is 6 months before the retroactive termination in QHP coverage is requested.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A retroactive termination date as described in this section is not available for enrollments in stand-alone dental plans.</text>
    </paragraph>
  </paragraph>
</regulation>