# COMAR Title 31 — Maryland Insurance Administration

## Subtitle 12 — Health Maintenance Organizations; Entities That Act as Health Insurers

### Chapter 03 — Health Maintenance Organizations — Mandatory Point-of-Service Option

**Authority:** Health-General Article, §§19-705(a)(2) and 19-710.2, Annotated Code of Maryland

**Administrative History:** Effective date: July 1, 1996 (23:13 Md. R. 943)

**Administrative 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)

**Administrative History:** Chapter recodified from COMAR 09.31.07 to COMAR 31.12.03 effective September 7, 1998 (25:18 Md. R. 1439)

**Administrative History:** Regulation .02C amended effective August 3, 2015 (42:15 Md. R. 1019)

#### Regulation .01 Scope.

*COMAR 31.12.03.01*

This chapter applies to all health maintenance organizations operating in this State.

#### Regulation .02 Required Notice.

*COMAR 31.12.03.02*

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.

*COMAR 31.12.03.03*

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.