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<chapter num="38" heading="Wellness Program Incentives" title_num="31" subtitle_num="10">
  <regulation prefix="Regulation" num=".01" heading="Purpose.">
    <text>The purpose of this chapter is to establish a limit on the value of incentives offered by carriers in wellness programs.</text>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Scope.">
    <text>This chapter applies only to the wellness programs as defined in Regulation .03 of this chapter, and Insurance Article, §27-210(h)(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 meanings indicated.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Terms Defined.</text>
      <paragraph num="(1)">
        <text>“Carrier” means:</text>
        <paragraph num="(a)">
          <text>An insurer;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>A nonprofit health service plan;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>A health maintenance organization; or</text>
        </paragraph>
        <paragraph num="(d)">
          <text>A dental plan organization.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>“Wellness program” has the meaning stated in Insurance Article, §27-210(h)(1), Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".04" heading="Incentive Permitted.">
    <text>A carrier may offer an incentive for participation in a wellness program if the incentive:</text>
    <paragraph num="A.">
      <text>Is reasonably related to the wellness program; and</text>
    </paragraph>
    <paragraph num="B.">
      <text>Does not have a value that exceeds any limit established by Regulation .05 of this chapter.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".05" heading="Value of Incentive Offered.">
    <text>An incentive offered for participation in a wellness program by a carrier may not have a value that exceeds $500 per year, per individual who is an insured, a subscriber, or a member.</text>
  </regulation>
  <annotations>
    <annotation type="Authority">Insurance Article, §§2-109(a)(1) and 27-210(h)(4), Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date: June 29, 2009 (36:13 Md. R. 907)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .01 amended effective June 6, 2016 (43:11 Md. R. 635)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02 amended effective March 8, 2010 (37:5 Md. R. 433); June 6, 2016 (43:11 Md. R. 635)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .03B amended effective March 8, 2010 (37:5 Md. R. 433); June 6, 2016 (43:11 Md. R. 635)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .04 amended effective June 6, 2016 (43:11 Md. R. 635)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .05 amended effective June 6, 2016 (43:11 Md. R. 635)</annotation>
  </annotations>
</chapter>