<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".02" citation="COMAR 14.35.20.02" title_num="14" subtitle_num="35" chapter_num="20" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Board” means the Maryland Health Benefit Exchange Board of Trustees.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Board Secretary” means the Secretary for the Board of Trustees.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Contested Case.</text>
      <paragraph num="(a)">
        <text>“Contested case” has the meaning stated in State Government Article, §10-202(d), Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Contested case” includes a proceeding:</text>
        <paragraph num="(i)">
          <text>Arising out of a determination made by the Exchange;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Regarding an authorization, certification, or permit issued by the Exchange; or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Arising out of any act of or failure to act by the Exchange, involving an authorization or a certification issued by the Exchange, that aggrieves a person.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>“Contested case” does not include any other quasi-legislative hearing.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Determination.</text>
      <paragraph num="(a)">
        <text>“Determination” means a decision by the Exchange that requires the Board to provide the opportunity for a hearing to a person aggrieved by the decision.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Determination” includes:</text>
        <paragraph num="(i)">
          <text>A decision as to whether a person against whom an administrative complaint has been received violated a law, regulation, or order; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>An order issued pursuant to the Board's authority.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>“Exchange” means the Maryland Health Benefit Exchange.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Executive Director” means the Executive Director of the Maryland Health Benefit Exchange, appointed pursuant to Insurance Article, §31-105, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Maryland Health Benefit Exchange” has the meaning set forth under Insurance Article, §31-101(e), Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Office” means the Office of Administrative Hearings.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Person” has the meaning set forth under COMAR 28.02.01.02B(12).</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Presiding officer” means the Board member selected by the board to conduct, manage, and oversee the hearing and the administrative matters of an appeal on behalf of the Board of Trustees of the Maryland Health Benefit Exchange.</text>
    </paragraph>
  </paragraph>
</regulation>