Chapter 03. Health Maintenance Organizations — Mandatory Point-of-Service Option
Regulation .01 Scope.LinkCopy Citation
This chapter applies to all health maintenance organizations operating in this State.
Regulation .02 Required Notice.LinkCopy Citation
When a health maintenance organization is the sole carrier offered to group members by a group policyholder, the health maintenance organization:
A.
Shall offer the group policyholder a point-of-service option for the individual group member to accept or reject;
B.
May not impose a minimum participation level on the mandatory point-of-service option; and
C.
As part of the application, shall provide to each group policyholder the following disclosure statement, for each point-of-service option offered:
Regulation .03 Record Retention.LinkCopy Citation
Each health maintenance organization shall maintain copies of the notice and the group policyholder response for a period of 3 years or until its next market conduct examination, whichever occurs first.
Chapter annotations
Authority: Health-General Article, §§19-705(a)(2) and 19-710.2, Annotated Code of Maryland
History: Effective date: July 1, 1996 (23:13 Md. R. 943)
History: Regulation .02C amended as an emergency provision effective July 1, 1996 (23:15 Md. R. 1079); amended permanently effective November 4, 1996 (23:22 Md. R. 1496)
History: Chapter recodified from COMAR 09.31.07 to COMAR 31.12.03 effective September 7, 1998 (25:18 Md. R. 1439)
History: Regulation .02C amended effective August 3, 2015 (42:15 Md. R. 1019)