2013 Maryland Code
INSURANCE
§ 14-703 - Operation of a public-private health care program [Subtitle subject to abrogation].

§14-703. IN EFFECT

// EFFECTIVE UNTIL MAY 31, 2013 PER CHAPTERS 626 AND 627 OF 2008 //

(a) A person shall be certified by the Commissioner before operating a public-private health care program in the State.

(b) An applicant for certification shall:

(1) be a nonprofit corporation that, in accordance with its charter, is organized for the purpose of establishing and operating a public-private health care program; and

(2) file with the Commissioner:

(i) an application on the form that the Commissioner requires containing the information that the Commissioner considers necessary;

(ii) copies of the following documents, certified by at least two of the executive officers of the applicant:

1. articles of incorporation of the applicant that include the applicant’s corporate mission statement, and all amendments to the articles;

2. bylaws of the applicant, and all amendments to the bylaws;

3. a list of the name, address, and biographical information for each member of the board of directors of the applicant; and

4. a list of the beginning and ending terms of office of each member of the board of directors of the applicant;

(iii) the written agreement with each county in which the applicant proposes to operate a public-private health care program that specifies the obligations of each party to the agreement;

(iv) a description of the public-private health care program the applicant proposes to operate, including:

1. the criteria used to determine who is a qualifying individual;

2. the arrangements for the delivery of health care services;

3. the payment obligations of participants;

4. the internal complaint process available to participants; and

5. the procedures to be used to monitor applications for enrollment to determine whether an individual has voluntarily terminated coverage under a health benefit plan issued under Title 15, Subtitle 12 of this article;

(v) all forms, agreements, advertising, or other documents that will be provided to participants; and

(vi) any other information or documents that the Commissioner considers necessary to ensure compliance with this subtitle.