<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 14.35.15.06" title_num="14" subtitle_num="35" chapter_num="15" heading="Conditions for Participation — Individual Exchange Premium Payment.">
  <paragraph num="A.">
    <text>An authorized carrier shall follow the premium payment procedures and deadlines under COMAR 14.35.07.11F.</text>
  </paragraph>
  <paragraph num="B.">
    <text>An authorized carrier may establish a premium payment threshold policy under COMAR 14.35.07.11G.</text>
  </paragraph>
  <paragraph num="C.">
    <text>An authorized carrier may not use a payment made to effectuate coverage under COMAR 14.35.07.11F(1) to pay outstanding balances attributed to previously terminated coverage of the qualified individual.</text>
  </paragraph>
  <paragraph num="D.">
    <text>An authorized carrier in the Individual Exchange shall calculate that the premium for coverage lasting less than 1 month equals the product of:</text>
    <paragraph num="(1)">
      <text>The premium for 1 month of coverage divided by the number of days in the month; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The number of days for which coverage is being provided in the month.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>An authorized carrier shall accept premium and cost-sharing payments from the following third-party entities:</text>
    <paragraph num="(1)">
      <text>Ryan White HIV/AIDS Program under Title XXVI of the Public Health Service Act;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Indian tribes, tribal organizations, or urban Indian organizations; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>State and federal government programs.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Establishment of Standard Policies for Termination of QHPs Due to Non-payment of Premiums.</text>
    <paragraph num="(1)">
      <text>An authorized carrier shall establish a standard policy for termination of enrollment of enrollees through the Exchange due to non-payment of premiums under COMAR 14.35.14.06B.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The authorized carrier’s standard policy shall:</text>
      <paragraph num="(a)">
        <text>Include the grace period for enrollees receiving Advanced Premium Tax Credits set forth in Insurance Article, §15-1315(c)—(e), Annotated Code of Maryland;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Include the grace period for enrollees not receiving an Advanced Premium Tax Credit set forth in Insurance Article, §15-209, Annotated Code of Maryland, COMAR 31.10.25.04C, and COMAR 31.12.07.05D;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Be applied uniformly to enrollees in similar circumstances;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Specify whether the authorized carrier has a premium payment threshold policy under COMAR 14.35.07.11G; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>If the carrier has a premium payment threshold policy, specify the authorized carrier’s premium payment threshold policy.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>Location of Premium Payment Information.</text>
    <paragraph num="(1)">
      <text>An authorized carrier shall make information available to enrollees through an Internet link that is displayed prominently in the enrollee’s authorized carrier’s monthly premium payment billing notice.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>This information shall be available on:</text>
      <paragraph num="(a)">
        <text>The authorized carrier’s enrollee website;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The authorized carrier’s enrollee Internet portal; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Upon request by an enrollee.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>