# COMAR Title 31 — Maryland Insurance Administration

## Subtitle 17 — Maryland Health Insurance Plan

### Chapter 03 — Operation and Administration of the Plan

#### Regulation .06 Plan Administrator.

*COMAR 31.17.03.06*

A. The Board shall select a Plan administrator.

B. The Board may select more than one Plan administrator, if the Board decides to contract with different administrators to administer:

  (1) Different standard benefit packages;

  (2) Specific benefits, such as a prescription drug benefit; or

  (3) Specific administrative functions of the Plan, such as case management.

C. Each Plan administrator shall serve for a period of time specified in its contract with the Board, subject to removal for cause and any other terms, conditions, and limitations contained in the contract.

D. Each Plan administrator shall perform functions relating to the Plan as required by the Board, including:

  (1) Determination of eligibility;

  (2) Data collection;

  (3) Case management;

  (4) Financial tracking and reporting;

  (5) Payment of claims; and

  (6) Premium billing.

E. The Board shall assume all insurance risk associated with covered benefits under the Plan.