Maryland Code § IN-15-1315

Section IN-15-1315
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(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.

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