<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 14.35.21.04" title_num="14" subtitle_num="35" chapter_num="21" heading="Calculation of Subsidies Under the Program.">
  <paragraph num="A.">
    <text>The subsidy may not exceed the enrollee’s premium amount.</text>
  </paragraph>
  <paragraph num="B.">
    <text>The subsidy shall be applied to the premium balance remaining after application of the Advance Premium Tax Credit.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Basis of Calculation.</text>
    <paragraph num="(1)">
      <text>For enrollees with a greater than 0 percent premium contribution based on the payment parameters set by the Board, the subsidy shall be calculated based on, and applied only to, the portion of premium allocated to essential health benefits.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>For enrollees with a 0 percent premium contribution based on the payment parameters set by the Board, the subsidy shall also be applied to nonessential health benefits so that the enrollee’s total premium responsibility is equal to $0.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>For plan years 2026 and 2027, the Board shall set the payment parameters for each plan year of the Program before December 31 preceding the applicable plan year.</text>
  </paragraph>
</regulation>