(a) This section applies to all grandfathered plans and to every health benefit plan that is not a grandfathered plan.
(b) (1) Subject to § 15–1106 of this title, a carrier may not rescind the coverage under a health benefit plan unless:
(i) the insured individual performs an act, a practice, or an omission that constitutes fraud or makes a misrepresentation of material fact as prohibited by the health benefit plan; and
(ii) except as provided in paragraph (2) of this subsection, the carrier complies with 45 C.F.R. § 147.128.
(2) If the Commissioner adopts regulations as described in subsection (c) of this section, a carrier that rescinds the coverage under a health benefit plan in accordance with subsection (b) of this section shall comply with the adopted regulations.
(c) To the extent necessary, the Commissioner shall adopt regulations that:
(1) establish requirements that a carrier shall comply with to rescind coverage under subsection (b) of this section; and
(2) are consistent with 45 C.F.R. § 147.128 and any federal rules and guidance as those provisions were in effect December 1, 2019.
Structure Maryland Statutes
Subtitle 1A - Consumer Protections
Section 15-1A-01 - Definitions
Section 15-1A-02 - Enforcement of Provisions by Commissioner
Section 15-1A-04 - Criteria for Health Benefit Plans -- Consistent With Federal Law
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-09 - Acceptance of All Employers and Individuals -- Exceptions
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-14 - Emergency Services -- Coverages
Section 15-1A-16 - Acceptable Medical Loss Ratio -- Calculation
Section 15-1A-18 - Catastrophic Plans -- Regulations Governing
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