Plain Text Law

Regulation .09 Reinstatement.

Regulation .09 Reinstatement.Copy Citation

A.
An individual’s enrollment shall be reinstated:
(1)
If applicable, under QHP provisions required by COMAR 31.10.25.04;
(2)
If the Exchange determines an error was made by the Exchange that led to an improper termination or cancellation;
(3)
If the carrier determines an error was made by the carrier that led to an improper termination or cancellation; or
(4)
If the Exchange is ordered to reinstate the enrollee by the Maryland Insurance Administration, Office of Administrative Hearings, or a State or federal court.
B.
If the carrier erroneously terminates or cancels an enrollee’s coverage, including if the coverage was terminated or canceled for non-payment of premiums, a carrier shall process a reinstatement transaction from the Exchange.