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Life & Health Bulletins
2013 Bulletins
- Process for Submitting Consumer Disclosure Information for Health Benefit Plans in the Individual and Small Employer Group Markets
March 27, 2013
Bulletin 13-12 - Actuarial Value (AV) Calculator Documentation
March 11, 2013
Bulletin 13-11
Actuarial Value Input Chart - Geographic Rating Areas - Application to the Individual Market
March 7, 2013
Bulletin 13-08 - Exemption from Participation in the Maryland Health Benefit Exchange
January 29, 2013
Bulletin 13-06 Amended - Form Filing Requirements for Health Benefit Plans, Dental Plans, and Vision Plans in the Small Employer and Individual Markets with Plan Years or Policy Years Beginning on or after January 1, 2014
January 23, 2013
Bulletin 13-05 - Essential Health Benefits Substitution Rules
January 7, 2013
Bulletin 13-02 - Maryland Benchmark Plan and Essential Health Benefits
January 3, 2013
Bulletin 13-01
2012 Bulletins
- Hurricane Sandy: Activation of Emergency Regulation COMAR 31.01.02.06A(3) and (4)
October 27, 2012
Bulletin 12-23 - Plan Management Training Session
October 12, 2012
Bulletin 12-22 - Summary of Benefits and Coverage
October 9, 2012
Bulletin 12-21 - Life Insurers: Filing Required to Revise Interest Rates for Valuation and Nonforfeiture
October 9, 2012
Bulletin 12-20 Amended - Life and Health Insurance Guaranty Corporation Coverage
August 1, 2012
Notice of Proposed Regulations COMAR 31.04.14
Bulletin 12-13 - State of Emergency - Emergency Regulation
July 1, 2012
Bulletin 12-11 - Rate Filing Requirements for the Individual and Small Employer Group Markets
June 11, 2012
Bulletin 12-10 - Prior Approval of Premium Rates for Association Health Benefit Plans
May 29, 2012
Bulletin 12-09 - Fraud Disclosure Statement on Insurance Applications
April 27, 2012
Bulletin 12-07 - Filing Requirements for Internal Grievance Processes
March 14, 2012
Life and Health 12-03
2011 Bulletins
- Hurricane Irene
August 26, 2011
Life and Health 11-21 - Public Hearing - Health Insurance Premiums
May 31, 2011
Life and Health 11-12 - Assignment of Benefits to Nonpreferred Providers - Modifications to Proposed Regulations
May 17, 2011
Life and Health 11-11 - Amended Suitability in Annuity Transactions Regulations
May 13, 2011
Life and Health 11-10
Refer to the Final Published Regulations as printed in the Maryland Register. - HMO Payments to Nonparticipating Providers
May 4, 2011
19-710.1 Health General Article and COMAR 31.12.08
Life and Health 11-09 - Assignment of Benefits to Nonpreferred Providers
May 2, 2011
Notice of Proposed Regulations COMAR 31.10.41
Life and Health 11-08 - Annual Provider Rate Schedule Certification
January 7, 2011
COMAR 31.12.08.04D
Life and Health 11-01
2010 Bulletins
- Patient Protection and Affordable Care Act and Notices Regarding Grandfathered Health Plans
November 30, 2010
Life and Health 10-21 Amended - Grandfathered and Non-Grandfathered Health Plans
November 23, 2010
Life and Health 10-39 - Notice of New Universal Life Insurance Regulations
November 3, 2010
Life and Health 10-37 - Long Term Care Reporting Requirements
September 30, 2010
Life and Health 10-33 - Regulation of Physician Rating Systems
September 29, 2010
Life and Health 10-32
Re: Subtitle 17 of the Insurance Article - External Review Processes and the Patient Protection and Affordable Care Act
September 28, 2010
Life and Health 10-30 - Medical Underwriting in the Individual Market for Family Health Benefit Plans
September 28, 2010
Life and Health 10-31 - Application of Minimum Participation Requirements
September 17, 2010
Impact of the Patient Protection and Affordable Care Act (PPACA)-Coverage of Children to Age 26
Life & Health 10-28 - Small Group Terminations
September 15, 2010
Refer to 15-1212 of the Insurance Article
Life and Health 10-27 - Amendment to COMAR 31.04.14
August 17, 2010
Re: Notice Requirements of Life and Health Insurance Guaranty Corporation Coverage
Life and Health 10-25 - Contract Amendment Templates for Compliance with Patient Protection and Affordable Health Care Act
July 15, 2010
Life and Health 10-23
Below are referenced templates in a Word format:
Individual Grandfathered Plans
Group Grandfathered Plans
Individual Non-Grandfathered Plans
Group Non-Grandfathered Plans
- Patient Protection and Affordable Care Act and Notices Regarding Grandfathered Health Plans
June 23, 2010
Life and Health 10-21 - Contract Amendment Templates for Compliance with Patient Protection and Affordable Care Act--Coverage of Children to Age 26
June 3, 2010
Life & Health 10-17
Below are referenced templates in a Word format:
Individual Plans
Group Non-Grandfathered Plans
Group Grandfathered Plans
- Federal Health Reform and Related Form Filings for Expanding Coverage for Dependent Children to Age 26
May 4, 2010
Life & Health 10-14 - Life Insurance Underwriting and § 27-501 of the Insurance Article
April 29, 2010
Life & Health 10-13 - Retained Asset Accounts-Clarification of COMAR 31.09.14
March 18, 2010
Life and Health 10-10 - Notice of Publication of Hospital Rates
January 26, 2010
Life and Health 10-04
2009 Bulletins
- Small Employer Definition and Affiliated Companies
November 9, 2009
Life and Health 09-26 - Uniform Credentialing Form
October 7, 2009
Life and Health 09-25 - Insurance Anti-Fraud Plan Required - HB142
August 31, 2009
For All Third Party Administrators
Bulletin 09-24
Refer to additional instructions under Insurance Fraud. - Approved Accrediation Organization for the Accreditation of Pharmacy Benefits Managers
August 6, 2009
Life and Health 09-21 - Updated list of registered pharmacy benefit managers
June 25, 2009
Life and Health 09-16 - Implementation of the Maryland Long-Term Care Insurance Partnership Program
May 27, 2009
Life and Health 09-13 - Filing of Nominal Fees by Discount Medical Plan Organizations and Discount Drug Plan Organizations
May 15, 2009
Refer to COMAR 31.10.24
Life and Health 09-12 - Rescission of Bulletin 08-31
May 13, 2009
Life and Health 09-11 Rescinds 08-31 regarding Definitions of Coverage Decisions - Changes to Comprehensive Standard Benefit Package
April 17, 2009
Life and Health 09-10 - Notice of Emergency Legislation - SB84
April 3, 2009
Life and Health 09-06 - Continuation Notice
March 24, 2009
Life and Health 09-05 - Electronic Semi-Annual Claims Data Filing
January 30, 2009
Life and Health 09-01
2008 Bulletins
- Discount medical plans, discount drug plan organizations and other interested parties
January 2, 2009
Life and Health 08-36 - Rescission of Bulletin 08-32
November 24, 2008
Life and Health 08-35 - Colorectal Cancer Screening Mandate
November 10, 2008
Life and Health 08-33 - Retroactive Denial of Claims
October 28, 2008
Life and Health 08-30 - Coverage Decisions
October 28, 2008
Life and Health 08-31 - Advertisements and Marketing Documents
October 23, 2008
Life and Health 08-29 - Pharmacy Benefits Manager
October 15, 2008
Registration of PBMs with the Insurance Administration
Life and Health 08-25 - Provider Panels - Filing of Availability Plan, Annual Performance Assessment and List of Hospital Based Specialties
October 1, 2008
Refer to Excel spreadsheet
Life and Health 08-24 - Required Notice to Maryland Health Insurance Plan of Individuals Denied Coverage
September 12, 2008
Life and Health 08-22 - Capitation Payment, Insurance Business and Administrative Service Provider Contracts
September 5, 2008
Life and Health 08-19 - Maryland Continuation Coverage
May 30, 2008
Replaces Bulletin 02-20 on this issue
Life and Health 08-13 - Comparison of Maryland Continuation of Coverage and Federal COBRA Provisions
May 30, 2008
Chart Attachment to Life and Health 08-13 - Amended Regulations for Conversion of Group Health Insurance
May 2, 2008
Life and Health 08-10 - Required Reporting of Disciplinary Actions Pursuant to Military Personnel Financial Services Protection Act
March 11, 2008
Bulletin 08-09 - Limitations on Audits and Retroactive Adjustments
March 11, 2008
Bulletin 08-08 - Notice of New Emergency Regulations Regarding Domestic Partner Coverage
February 15, 2008
Life and Health 08-06
2007 Bulletins
- Credentialing and Recredentialing of Health Care Providers
December 20, 2007
Refer to the Health Care Providers section for forms and additional instructions
Life and Health 07-18 - Amendment - Required Notice of Criteria under which a Child Attaining Age 18 May Remain Eligible for Health Coverage as a Dependent
December 4, 2007
Insurance Article 15-416
Life and Health 07-17 Amendment - New Address for Maryland Health Insurance Plan
June 21, 2007
Life and Health 07-7 - Changes to Required Notice Regarding Coverage Limitations and Exclusions
January 22, 2007
As applies to the Life and Health Insurance Guaranty Corporation
Life and Health 07-04
2006 Bulletins
- Credit Insurance Statistical Experience Reports
October 25, 2006
Life and Health 06-20 - Required Notice of MHIP Upon Denial of Coverage
September 22, 2006
Life and Health 06-16 - Individual Health Coverage - Eligibility for Family Coverage
September 22, 2006
Life and Health 06-17 - Utilization Review of Surgical Treatment of Morbid Obesity
May 22, 2006
For Private Review Agents
Life and Health 06-10 - New Address for Maryland Health Insurance Plan
May 1, 2006
Re: COMAR 31.10.27 Notice of the Maryland Health Insurance Plan
Life and Health 06-07 - Amendment to Uniform Treatment Plan Form Regulations
March 27, 2006
Life and Health 06-5 - Changes to Comprehensive Standard Health Benefit Plan for July 1, 2006
March 13, 2006
For HMOs in the Small Group Market
Life & Health 06-03 - Changes to the Comprehensive Standard Health Benefit Plan for July 1, 2006
March 13, 2006
For Insurers and Non-profit Health Service Plans Participating in the Small Group Market
Life & Health 06-04