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<chapter num="17" heading="Consolidated Services Center — SHOP Exchange Enrollment Permits" title_num="31" subtitle_num="03">
  <regulation prefix="Regulation" num=".01" heading="Purpose.">
    <text>The purpose of this chapter is to establish certain requirements that shall be satisfied in order to qualify for a SHOP Exchange enrollment permit.</text>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Applicability.">
    <text>This chapter applies to any employee of the Consolidated Services Center seeking to provide the services set forth in Insurance Article, §31-112(c)(1), Annotated Code of Maryland.</text>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Definitions.">
    <paragraph num="A.">
      <text>In this chapter, the following terms have the meaning indicated.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Terms Defined.</text>
      <paragraph num="(1)">
        <text>“Administration” means the Maryland Insurance Administration.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>“Applicant” means a person who is applying for a SHOP Exchange enrollment permit.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>“Application” means a written request for a permit in a form approved by the Commissioner.</text>
      </paragraph>
      <paragraph num="(4)">
        <text>“Commissioner” means the Maryland Insurance Commissioner.</text>
      </paragraph>
      <paragraph num="(5)">
        <text>“Consolidated Services Center” has the meaning set forth in Insurance Article, §31-101(c-2), Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(6)">
        <text>“Effective date” means the date on which a permit takes effect.</text>
      </paragraph>
      <paragraph num="(7)">
        <text>“Examination” means the examination given under the authority of the Commissioner pursuant to Insurance Article, §31-112(d), Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(8)">
        <text>“Maryland Health Benefit Exchange” means the public corporation established under Insurance Article, §31-102, Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(9)">
        <text>“Permit” means a SHOP Exchange enrollment permit.</text>
      </paragraph>
      <paragraph num="(10)">
        <text>“SHOP Exchange” has the meaning set forth in Insurance Article, §31-101(w), Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(11)">
        <text>“SHOP Exchange Enrollment Permit” means a permit issued by the Commissioner to Consolidated Services Center employees, as required under Insurance Article, §31-113.1(b)(3), Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(12)">
        <text>“SHOP Exchange Navigator License” has the meaning set forth in Insurance Article, §31-101(y), Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(13)">
        <text>“Training program” means the educational program offered to an applicant by the SHOP Exchange that must be completed subject to Insurance Article, §31-112(2)(v), Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".04" heading="Permit Requirements.">
    <paragraph num="A.">
      <text>Before an employee of the Consolidated Services Center may provide the services set forth in Insurance Article, §31-112(c)(1), Annotated Code of Maryland, the person shall obtain a permit issued by the Commissioner.</text>
    </paragraph>
    <paragraph num="B.">
      <text>To qualify for a permit, an applicant shall:</text>
      <paragraph num="(1)">
        <text>Be at least 18 years of age;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Successfully complete the training program;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Complete and pass both sections of the examination;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Submit an application and any additional information the Commissioner deems necessary to the Administration;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Pay to the Administration initial permit and application fees if permitted by law;</text>
      </paragraph>
      <paragraph num="(6)">
        <text>Be of good character and trustworthy;</text>
      </paragraph>
      <paragraph num="(7)">
        <text>Not have committed any act the Commissioner finds would warrant suspension or revocation of a permit under Insurance Article, §31-113.1(b)(4), Annotated Code of Maryland; and</text>
      </paragraph>
      <paragraph num="(8)">
        <text>Be engaged by the Consolidated Services Center and receive compensation only through the Consolidated Services Center.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".05" heading="Examination.">
    <paragraph num="A.">
      <text>For an applicant to qualify to take the examination, the Maryland Health Benefit Exchange, or its designee, must submit evidence of the applicant’s successful completion of the training program to the Commissioner.</text>
    </paragraph>
    <paragraph num="B.">
      <text>The examination shall be the same examination administered by the Commissioner to those individuals seeking a SHOP Exchange Navigator License.</text>
    </paragraph>
    <paragraph num="C.">
      <text>An applicant who fails a single section of the examination may retake the failed section of the examination within 1 year of the initial examination date. If the applicant does not pass the failed section within that time, the applicant shall retake both sections of the examination to be eligible to pass the examination. The examination may not be taken more than three times in a 6-week period.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".06" heading="Changes to Information in the Application.">
    <paragraph num="A.">
      <text>Within 30 days after a change to any information in an initial or renewal application, a permit holder shall file with the Commissioner, in a form required by the Commissioner, the change in information.</text>
    </paragraph>
    <paragraph num="B.">
      <text>If a permit holder fails to timely file with the Commissioner a change to the information specified in §A of this regulation, the permit holder is in violation of Insurance Article, §31-112(e)(1)(i), Annotated Code of Maryland.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".07" heading="Permit Term.">
    <paragraph num="A.">
      <text>An initial permit expires on the last day of the permit holder’s birth month following the second anniversary of the effective date of the initial permit.</text>
    </paragraph>
    <paragraph num="B.">
      <text>A renewal permit expires on the second anniversary of its effective date.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".08" heading="Permit Renewal.">
    <paragraph num="A.">
      <text>To qualify to renew a permit, a permit holder shall:</text>
      <paragraph num="(1)">
        <text>Submit to the Commissioner a renewal application approved by the Commissioner;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Pay a permit renewal fee if permitted by law;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Submit to the Commissioner any additional information the Commissioner deems necessary;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Complete the continuing education requirements as set forth in §A(7) of this regulation;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Be of good character and trustworthy;</text>
      </paragraph>
      <paragraph num="(6)">
        <text>Not have committed any act the Commissioner finds would warrant suspension or revocation of a SHOP Exchange enrollment permit under Insurance Article, §31-113.1(b)(4), Annotated Code of Maryland;</text>
      </paragraph>
      <paragraph num="(7)">
        <text>Complete 16 credit hours of continuing education during the prior permit period as approved by the Administration in consultation with the Maryland Health Benefit Exchange which shall include the following:</text>
        <paragraph num="(a)">
          <text>A minimum of nine credit hours in health insurance; and</text>
        </paragraph>
        <paragraph num="(b)">
          <text>A minimum of three credit hours in ethics;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(8)">
        <text>Have paid all undisputed taxes and unemployment insurance contributions payable to the Comptroller of Maryland and the Secretary of Labor or has provided for payment in a manner satisfactory to the unit responsible for collection;</text>
      </paragraph>
      <paragraph num="(9)">
        <text>Have paid any amount in arrears on an applicant’s child support obligation, if any, or has provided for payment in a manner satisfactory to the unit responsible for collection; and</text>
      </paragraph>
      <paragraph num="(10)">
        <text>Be engaged by the Consolidated Services Center and receive compensation only through the Consolidated Services Center.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>A renewal application is considered timely filed if:</text>
      <paragraph num="(1)">
        <text>The application contains all of the required information;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The renewal permit fee, if permitted by law, has been received by the Administration; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>The application is:</text>
        <paragraph num="(a)">
          <text>Mailed and postmarked on or before the expiration date of the permit; or</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Submitted electronically and received by an information processing system that the Administration has designated for the purpose of receiving electronic applications prior to the expiration date of the permit.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>If, at least 2 calendar weeks before a permit expires, the permit holder makes sufficient application for renewal of the permit, the permit shall not expire until:</text>
      <paragraph num="(1)">
        <text>The Administration takes final action on the renewal application; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The time for seeking judicial review of the action expires or any judicial stay of the Administration’s final action expires.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".09" heading="Expired Permit Reinstatement.">
    <paragraph num="A.">
      <text>An individual whose permit has expired:</text>
      <paragraph num="(1)">
        <text>Is prohibited from providing the services set forth in the Insurance Article, §31-112(c)(1), Annotated Code of Maryland; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>For up to 1 year after the expiration date of the permit, may obtain reinstatement of the expired permit by:</text>
        <paragraph num="(a)">
          <text>Submitting to the Commissioner a reinstatement application approved by the Commissioner;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Meeting all of the renewal requirements under Regulation .08A—B(1), (2) and (3)(b) of this chapter; and</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Paying to the Administration the reinstatement fee, if permitted by law.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>An individual who does not qualify for reinstatement under §A(2) of this regulation may apply for an initial permit as described in Regulation .04 of this chapter.</text>
    </paragraph>
    <paragraph num="C.">
      <text>The Commissioner may waive the reinstatement procedures for a Consolidated Services Center employee who is unable to comply with the renewal and reinstatement procedures due to:</text>
      <paragraph num="(1)">
        <text>Military service; or</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Other extenuating circumstances, including a long-term medical disability.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">Insurance Article, §§2-109 and 31-113.1, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date:</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .01—.09 adopted as an emergency provision effective September 19, 2013 (40:21 Md. R. 1772); adopted permanently effective November 11, 2013 (40:22 Md. R. 1878)</annotation>
  </annotations>
</chapter>