Maryland Code § HG-19-727

Section HG-19-727
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(a) Except as provided in subsection (b) of this section, a health
maintenance organization is not exempted from any State, county, or local taxes
solely because of this subtitle.

(b) (1) A nonprofit health maintenance organization that is exempt from
taxation under § 501(c)(3) of the Internal Revenue Code is not subject to the insurance
premium tax under Title 6, Subtitle 1 of the Insurance Article.
(2) Premiums received by an insurer under policies that provide
health maintenance organization benefits are not subject to the premium tax imposed
under Title 6, Subtitle 1 of the Insurance Article to the extent:
(i) Of the amounts actually paid by the insurer to a nonprofit
health maintenance organization that operates only as a health maintenance
organization; or
(ii) The premiums have been paid by that nonprofit health
maintenance organization.

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