Md. Code Regs. 14.35.14.09

Current through Register Vol. 51, No. 24, December 2, 2024

Section 14.35.14.09 - Reinstatement

A. An individual's enrollment shall be reinstated:

(1) If applicable, under QHP provisions required by COMAR 31.10.25.04;

(2) If the Exchange determines an error was made by the Exchange that led to an improper termination or cancellation;

(3) If the carrier determines an error was made by the carrier that led to an improper termination or cancellation; or

(4) If the Exchange is ordered to reinstate the enrollee by the Maryland Insurance Administration, Office of Administrative Hearings, or a State or federal court.

B. If the carrier erroneously terminates or cancels an enrollee's coverage, including if the coverage was terminated or canceled for non-payment of premiums, a carrier shall process a reinstatement transaction from the Exchange.

Md. Code Regs. 14.35.14.09

Regulation .09 adopted effective 46:5 Md. R. 308, eff. 3/11/2019