2010 Maryland Code
INSURANCE
TITLE 14 - ENTITIES THAT ACT AS HEALTH INSURERS
Subtitle 1 - Nonprofit Health Service Plans
Section 14-106 - Premium tax exemption report - In general.

§ 14-106. Premium tax exemption report - In general.
 

(a)  Public policy.- It is the public policy of this State that the exemption from taxation for nonprofit health service plans under § 6-101(b)(1) of this article is granted so that funds which would otherwise be collected by the State and spent for a public purpose shall be used in a like manner and amount by the nonprofit health service plan. 

(b)  Report required; public interest demonstration.- By March 1 of each year or a deadline otherwise imposed by the Commissioner for good cause, each nonprofit health service plan shall file with the Commissioner a premium tax exemption report that: 

(1) is in a form approved by the Commissioner; and 

(2) demonstrates that the plan has used funds equal to the value of the premium tax exemption provided to the plan under § 6-101(b) of this article, in a manner that serves the public interest in accordance with this section. 

(c)  Satisfaction of public service requirement.- A nonprofit health service plan may satisfy the public service requirement of this section by establishing that, to the extent the value of the nonprofit health service plan's premium tax exemption under § 6-101(b) of this article exceeds the subsidy required under the Senior Prescription Drug Assistance Program established under Subtitle 5, Part II of this title, the plan has: 

(1) increased access to, or the affordability of, one or more health care products or services by offering and selling health care products or services that are not required or provided for by law; 

(2) provided financial or in-kind support for public health programs; 

(3) employed underwriting standards in a manner that increases the availability of one or more health care services or products; 

(4) employed pricing policies that enhance the affordability of health care services or products and result in a higher medical loss ratio than that established by a comparable for-profit health insurer; or 

(5) served the public interest by any method or practice approved by the Commissioner. 

(d)  Plans to offer health care products and administer Senior Prescription Drug Assistance Program.-  

(1) Notwithstanding subsection (c) of this section, a nonprofit health service plan that is subject to this section and issues comprehensive health care benefits in the State shall: 

(i) offer health care products in the individual market; 

(ii) offer health care products in the small employer group market in accordance with Title 15, Subtitle 12 of this article; 

(iii) subsidize the Senior Prescription Drug Assistance Program established under Subtitle 5, Part II of this title; 

(iv) subsidize the Maryland Pharmacy Discount Program under § 15-124.1 of the Health - General Article; and 

(v) support the costs of the Community Health Resources Commission under Title 19, Subtitle 21 of the Health - General Article, including: 

1. operating grants to community health resources; 

2. funding for a unified data information system; 

3. the documented direct costs of fulfilling the statutory and regulatory duties of the Commission; and 

4. the administrative costs of the Commission. 

(2) (i) The support provided under paragraph (1)(v)1, 3, and 4 of this subsection to the Community Health Resources Commission shall be limited to: 

1. $2,000,000 in fiscal year 2006; and 

2. in fiscal year 2007 and annually thereafter, the value of the premium tax exemption less: 

A. the subsidy required under this subsection for the Senior Prescription Drug Assistance Program; 

B. the subsidy required under this subsection for the Maryland Pharmacy Discount Program; and 

C. the funding required under this subsection for the unified data information system. 

(ii) The subsidy provided under paragraph (1)(iv) of this subsection for the Maryland Pharmacy Discount Program shall be limited to: 

1. $500,000 in fiscal year 2006; and 

2. $300,000 in fiscal year 2007 and annually thereafter. 

(iii) The amount provided under paragraph (1)(v)2 of this subsection to fund a unified data information system shall be limited to: 

1. $500,000 in fiscal year 2006; and 

2. $1,700,000 in fiscal year 2007 and annually thereafter. 

(3) For any year, the subsidy and funding required under this subsection by a nonprofit health service plan subject to this section may not exceed the value of the nonprofit health service plan's premium tax exemption under § 6-101(b) of this article. 

(e)  Limitation on subsidy.- The subsidy that a nonprofit health service plan is required to provide to the Senior Prescription Drug Assistance Program under subsection (d)(1)(iii) of this section may not exceed: 

(1) for the period of January 1, 2006 through June 30, 2006, $8,000,000; 

(2) for fiscal years 2008 through 2013, $14,000,000; and 

(3) for any year, the value of the nonprofit health service plan's premium tax exemption under § 6-101(b) of this article. 

(f)  Public record.-  

(1) Subject to paragraph (2) of this subsection, each report filed with the Commissioner under subsection (b) of this section is a public record. 

(2) In accordance with § 10-617(d) of the State Government Article, the Commissioner shall deny inspection of any part of a report filed under subsection (b) of this section that the Commissioner determines contains confidential commercial information or confidential financial information. 
 

[2001, ch. 178; 2002, ch. 153, § 4; 2003, chs. 356, 357; 2005, ch. 25, § 13; ch. 280, § 4; ch. 281, § 1; ch. 282, § 1; 2006, chs. 44, 345; 2007, chs. 508, 509; 2009, ch. 734; 2010, ch. 119.]