Development and Submission of Marketing Plan. Each year, a nonprofit health service plan shall: Develop a marketing plan; and Submit the marketing plan and any changes to the marketing plan to the board of directors of the nonprofit health service plan for approval. Contents of Marketing Plan. A nonprofit health service plan shall include in the marketing plan all of the nonprofit health service plan's marketing goals and objectives in the State, including any plan to: Reenter a market; Retain or expand enrollment in a market or market segment; Change the product portfolio of the nonprofit health service plan; Establish or change distribution methods or sales systems of the nonprofit health service plan; Establish or change a pricing strategy; Form a partnership with another entity for marketing purposes; Establish or change a communication and image strategy; Engage in community outreach and education; Market membership through one company in a holding company system rather than another company in the holding company system; or Move subscribers from one company in a holding company system to another company in the holding company system. Approval Required. A nonprofit health service plan may not wholly or partially implement a marketing plan or any change to the marketing plan unless the board of the nonprofit health service plan has approved the marketing plan or the change to the marketing plan.