# COMAR Title 14 — Independent Agencies

## Subtitle 35 — Maryland Health Benefit Exchange

### Chapter 16 — Plan Certification Standards

#### Regulation .03 Qualified Health Plan Certification — In General.

*COMAR 14.35.16.03*

A. An authorized carrier shall apply for a certificate of authorization for each health benefit plan the carrier intends to offer on the Exchange.

B. The authorized carrier shall no longer offer a QHP on the Exchange, if:

  (1) The plan’s certification of authorization expires;

  (2) The plan is decertified by the Exchange;

  (3) The carrier elects to withdraw from the market with the Exchange, under 45 CFR §156.290; or

  (4) The carrier elects not to offer or renew the QHP on the Exchange in accordance with Insurance Article, Annotated Code of Maryland.

C. With respect to per-member premium rating for family coverage offered through a QHP on the Exchange, a carrier shall cap the premium rating for non-spousal dependents at three non-spousal dependents under the age of 21 for all plans authorized for sale under this chapter.