Maryland Statutes
Subtitle 1A - Consumer Protections
Section 15-1A-02 - Enforcement of Provisions by Commissioner

(a)    The Commissioner may enforce:
        (1)    the provisions of this subtitle; and
        (2)    notwithstanding any other provisions of law, the following provisions of Title 1, Subtitles A, C, and D of the Affordable Care Act as they apply to individual health insurance coverage and health insurance coverage offered in the small group and large group markets as those terms are defined in the federal Public Health Service Act, issued or delivered in the State by an authorized insurer, nonprofit health service plan, or health maintenance organization:
            (i)    coverage of children up to the age of 26 years;
            (ii)    preexisting condition exclusions;
            (iii)    policy rescissions;
            (iv)    bona fide wellness programs;
            (v)    lifetime limits;
            (vi)    annual limits for essential benefits;
            (vii)    waiting periods;
            (viii)    designation of primary care providers;
            (ix)    access to obstetrical and gynecological services;
            (x)    emergency services;
            (xi)    summary of benefits and coverage explanation;
            (xii)    minimum loss ratio requirements and premium rebates;
            (xiii)    disclosure of information;
            (xiv)    annual limitations on cost–sharing;
            (xv)    child–only plan offerings in the individual market;
            (xvi)    minimum benefit requirements for catastrophic plans;
            (xvii)    health insurance premium rates;
            (xviii)    coverage for individuals participating in approved clinical trials;
            (xix)    contract requirements for stand–alone dental plans sold on the Maryland Health Benefit Exchange;
            (xx)    guaranteed availability of coverage;
            (xxi)    prescription drug benefit requirements; and
            (xxii)    preventive and wellness services and chronic disease management.
    (b)    The Commissioner may enforce the provisions identified under subsection (a) of this section under any applicable powers granted to the Commissioner under this article.

Structure Maryland Statutes

Maryland Statutes

Insurance

Title 15 - Health Insurance

Subtitle 1A - Consumer Protections

Section 15-1A-01 - Definitions

Section 15-1A-02 - Enforcement of Provisions by Commissioner

Section 15-1A-03 - Adoption of Regulations -- Application to Health Benefit Plan -- Grandfathered Plans

Section 15-1A-04 - Criteria for Health Benefit Plans -- Consistent With Federal Law

Section 15-1A-05 - Application to Grandfathered Plans -- Prohibition on Certain Exclusions or Denials

Section 15-1A-06 - Certain Factors Prohibited in Consideration -- Extra Premiums Prohibited

Section 15-1A-07 - Premium Rates Review -- Basis -- Ratio of Premium Rate Variation

Section 15-1A-08 - Coverage Available for Dependent Child Until Age of 26 Years -- Relationship to Insured

Section 15-1A-09 - Acceptance of All Employers and Individuals -- Exceptions

Section 15-1A-10 - Coverages Required and Additional Charges Prohibited -- Out-of-Network Charges -- Services Recommended or Not by Task Force

Section 15-1A-11 - Lifetime or Annual Limits on Benefits

Section 15-1A-12 - Limit on Waiting Period for Otherwise Eligible Individual

Section 15-1A-13 - Identification of Participating Primary Care Provider -- Children -- Obstetrical or Gynecological Care

Section 15-1A-14 - Emergency Services -- Coverages

Section 15-1A-15 - Summary of Benefits and Coverage Explanation -- Regulations by Commissioner -- Uniform Definitions -- Periodic Review

Section 15-1A-16 - Acceptable Medical Loss Ratio -- Calculation

Section 15-1A-17 - Required Information Provided by Carrier -- Disclosures -- Hardship Exemptions -- Catastrophic Plans

Section 15-1A-18 - Catastrophic Plans -- Regulations Governing

Section 15-1A-19 - Annual Limitations on Cost Sharing for Essential Health Benefits Covered -- Regulations

Section 15-1A-20 - Prescription Drug Essential Health Benefits for Individual and Small Group Plans

Section 15-1A-21 - Rescission of Coverage Under Health Benefit Plans -- Exceptions

Section 15-1A-22 - Carriers May Refuse or Deny Coverage for Non-Discriminatory Reasons -- Discrimination Based on Sexual Orientation or Gender Identity Prohibited