(a) (1) In this section the following words have the meanings indicated. (2) "Individual Exchange" has the meaning stated in § 31-101 of this article. (3) "Qualified health plan" has the meaning stated in § 31-101 of this article. (4) "Qualified individual" has the meaning stated in § 31-101 of this article. (b) This section applies to a qualified health plan that is issued on or after January 1, 2014, by a carrier through the Individual Exchange. (c) A qualified health plan subject to this section shall include a grace period provision applicable to a qualified individual who: (1) is receiving advance payments of federal premium tax credits; and (2) fails to pay premiums timely. (d) The grace period provision shall: (1) provide a grace period of 3 consecutive months after the initial premium payment to begin coverage has been paid; (2) apply to qualified health plans renewed in accordance with § 15- 1309 of this subtitle without the qualified individual having to pay the first month's premium following renewal; and (3) be in addition to any other grace period provision required by any other applicable State law. (e) During the grace period, a carrier that issues a qualified health plan subject to this section: (1) shall pay all appropriate claims for services rendered to the qualified individual during the first month of the grace period; (2) may pend claims for services rendered to the qualified individual in the second and third months of the grace period; (3) shall notify the federal Department of Health and Human Services that the qualified individual is in the grace period; and (4) shall notify providers of the possibility that claims may be denied when a qualified individual is in the second and third months of the grace period.
‹ Prev All Maryland sections Next ›
Lexace provides legal information, not legal advice, and no attorney–client relationship is created. Statute text is provided for general information and may not reflect the most recent amendments; verify against the official state code.