Maryland Code § HG-19-721

Section HG-19-721
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(a) Unless previously suspended or revoked, each original and renewal
certificate of authority issued under this subtitle to a health maintenance
organization expires at midnight on the November 30 after its effective date.
(b) On payment of an annual renewal fee of $25 by the health maintenance
organization before the expiration date of its certificate of authority, its certificate
remains in effect until a new certificate of authority is issued or specifically refused.

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