<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".11" citation="COMAR 31.10.22.11" title_num="31" subtitle_num="10" chapter_num="22" heading="Termination of Services">
  <paragraph num="A.">
    <text>Notice of Intent to Terminate. When a provider-sponsored organization desires to cease offering a service under the contract, the provider-sponsored organization shall provide written notice of the intent to terminate to the Commissioner at least 30 days before ceasing to offer the service.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Permissible Reasons for Cancellation or Nonrenewal of Enrollment. A provider-sponsored organization may cancel or nonrenew enrollment in the provider-sponsored organization only for the following reasons:</text>
    <paragraph num="(1)">
      <text>Change of the place of residence of the member from the geographical area served by the provider-sponsored organization;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Failure of the member to pay any deductible or co-payment charges permitted under a contract;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Fraudulent use of the provider-sponsored organization's identification card on the part of the member or the alteration or sale of prescriptions by the member;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Failure of the enrollee to pay a premium charge when due;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Termination of the contract.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Termination of the plan with respect to all individuals in the area in which the enrollee resides; or</text>
    </paragraph>
    <paragraph num="(7)">
      <text>The enrollee has:</text>
      <paragraph num="(a)">
        <text>Engaged in disruptive behavior as specified in standards under 42 U.S.C. §1395w-21,</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Lost entitlement to Part A or Part B of Title 42, Chapter 7, Subchapter XVIII of the U.S. Code, or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Died.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>