<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 14.35.16.03" title_num="14" subtitle_num="35" chapter_num="16" heading="Qualified Health Plan Certification — In General.">
  <paragraph num="A.">
    <text>An authorized carrier shall apply for a certificate of authorization for each health benefit plan the carrier intends to offer on the Exchange.</text>
  </paragraph>
  <paragraph num="B.">
    <text>The authorized carrier shall no longer offer a QHP on the Exchange, if:</text>
    <paragraph num="(1)">
      <text>The plan’s certification of authorization expires;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The plan is decertified by the Exchange;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The carrier elects to withdraw from the market with the Exchange, under 45 CFR §156.290; or</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The carrier elects not to offer or renew the QHP on the Exchange in accordance with Insurance Article, Annotated Code of Maryland.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>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.</text>
  </paragraph>
</regulation>