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Section 15-1A-01 - Definitions - (a) In this subtitle the following words have the meanings...
Section 15-1A-02 - Enforcement of Provisions by Commissioner - (a) The Commissioner may enforce: (1) the provisions of this...
Section 15-1A-03 - Adoption of Regulations -- Application to Health Benefit Plan -- Grandfathered Plans - (a) For purposes of this subtitle, to the extent necessary,...
Section 15-1A-04 - Criteria for Health Benefit Plans -- Consistent With Federal Law - For purposes of this subtitle, to the extent necessary, the...
Section 15-1A-05 - Application to Grandfathered Plans -- Prohibition on Certain Exclusions or Denials - (a) This section applies to all grandfathered plans except grandfathered...
Section 15-1A-06 - Certain Factors Prohibited in Consideration -- Extra Premiums Prohibited - (a) A carrier may not establish rules for eligibility, including...
Section 15-1A-07 - Premium Rates Review -- Basis -- Ratio of Premium Rate Variation - (a) (1) This section may not be construed to limit...
Section 15-1A-08 - Coverage Available for Dependent Child Until Age of 26 Years -- Relationship to Insured - (a) A carrier that offers a health benefit plan, including...
Section 15-1A-09 - Acceptance of All Employers and Individuals -- Exceptions - (a) Except as provided in subsections (b) through (d) of...
Section 15-1A-10 - Coverages Required and Additional Charges Prohibited -- Out-of-Network Charges -- Services Recommended or Not by Task Force - (a) Except as provided in subsections (b) and (c) of...
Section 15-1A-11 - Lifetime or Annual Limits on Benefits - (a) Except as provided in subsections (b) and (c) of...
Section 15-1A-12 - Limit on Waiting Period for Otherwise Eligible Individual - A carrier offering a group plan, including a grandfathered plan,...
Section 15-1A-13 - Identification of Participating Primary Care Provider -- Children -- Obstetrical or Gynecological Care - (a) If a carrier requires or provides for the designation...
Section 15-1A-14 - Emergency Services -- Coverages - (a) (1) In this section the following words have the...
Section 15-1A-15 - Summary of Benefits and Coverage Explanation -- Regulations by Commissioner -- Uniform Definitions -- Periodic Review - (a) This section applies to all grandfathered plans and to...
Section 15-1A-16 - Acceptable Medical Loss Ratio -- Calculation - (a) (1) For purposes of this section, “medical loss ratio”:...
Section 15-1A-17 - Required Information Provided by Carrier -- Disclosures -- Hardship Exemptions -- Catastrophic Plans - (a) (1) This section may not be construed to require...
Section 15-1A-18 - Catastrophic Plans -- Regulations Governing - (a) A carrier may offer a catastrophic plan in the...
Section 15-1A-19 - Annual Limitations on Cost Sharing for Essential Health Benefits Covered -- Regulations - (a) (1) In this section, “cost–sharing” means any expenditure required...
Section 15-1A-20 - Prescription Drug Essential Health Benefits for Individual and Small Group Plans - (a) (1) This section applies only to individual plans and...
Section 15-1A-21 - Rescission of Coverage Under Health Benefit Plans -- Exceptions - (a) This section applies to all grandfathered plans and to...
Section 15-1A-22 - Carriers May Refuse or Deny Coverage for Non-Discriminatory Reasons -- Discrimination Based on Sexual Orientation or Gender Identity Prohibited - (a) (1) In this section the following words have the...