Plan Mgmt Public Comments Form1docx DHMH Marylandgov计划管理公众意见form1docx DHMH marylandgov.docxVIP

Maryland Health Benefit Exchange Plan Management Public Comments Form PAGE  PAGE 12 Please return comments to  HYPERLINK mailto:tterry@dhmh.state.md.us tterry@dhmh.state.md.us by 7/31/12. The Maryland Health Benefit Exchange (the Exchange) is seeking comments from the public on the following key Plan Management policies: Plan Certification Policy Plan Recertification Policy Plan Decertification Policy Plan Choice Policy Submitter’s NameOrganization (if applicable)EmailPhone Dental Vision Pricing Display Policy Please provide comments on these areas and return this form via email to  HYPERLINK mailto:tterry@dhmh.state.md.us tterry@dhmh.state.md.us by 7/31/12. I. PROPOSED CARRIER PLAN CERTIFICATION POLICIES The following elements would be criteria included in the Exchange’s certification requirements for carriers and plans. Each certification element has a proposed policy option that could be adopted by the Exchange. Please provide comments on the proposed policies. Certification ElementDefinitionProposed Exchange PolicyCommentsLicensureCarriers must be licensed and in good standing in the State in which it intends to offer qualified plans. Use Maryland Insurance Administration (MIA) current policy. The MIA grants certificates of authority to carriers to provide plans within the state and maintains records of all licensed carriers. Insurance Title 4, Subtitle 1 for insurers. Insurance Title 14, Subtitle 1 for Non-Profit Health Service Plans. Health General Title 19, Subtitle 7 for HMOs.SolvencyCarriers must meet State financial and solvency standards. Use MIA current policy The MIA has oversight over company solvency to make sure that claims can be paid. Insurance Title 4, Subtitles 1 3, and Title 5. The MIA also performs market conduct reviews to make sure carriers are meeting obligations. Insurance §§ 2-205 through 2-209. Marketing StandardsCarriers must comply with all applicable State laws governing marketing of