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Home » US Law » 2022 Maryland Statutes » Insurance » Title 15 - Health Insurance » Subtitle 1A - Consumer Protections » Section 15-1A-21 – Rescission of Coverage Under Health Benefit Plans — Exceptions

    (a)    This section applies to all grandfathered plans and to every health benefit plan that is not a grandfathered plan.

    (b)    (1)    Subject to § 15–1106 of this title, a carrier may not rescind the coverage under a health benefit plan unless:

            (i)    the insured individual performs an act, a practice, or an omission that constitutes fraud or makes a misrepresentation of material fact as prohibited by the health benefit plan; and

            (ii)    except as provided in paragraph (2) of this subsection, the carrier complies with 45 C.F.R. § 147.128.

        (2)    If the Commissioner adopts regulations as described in subsection (c) of this section, a carrier that rescinds the coverage under a health benefit plan in accordance with subsection (b) of this section shall comply with the adopted regulations.

    (c)    To the extent necessary, the Commissioner shall adopt regulations that:

        (1)    establish requirements that a carrier shall comply with to rescind coverage under subsection (b) of this section; and

        (2)    are consistent with 45 C.F.R. § 147.128 and any federal rules and guidance as those provisions were in effect December 1, 2019.