§ 6-102.1
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/md/insurance/6-102-1A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
§6–102.1. IN EFFECT
(a)This section applies to:
(1)an insurer, a nonprofit health service plan, a health maintenance organization, a dental plan organization, a fraternal benefit organization, and any other person subject to regulation by the State that provides a product that:
(i)was subject to § 9010 of the Affordable Care Act, as in effect on December 1, 2019; and
(ii)may be subject to an assessment by the State; and
(2)a managed care organization authorized under Title 15, Subtitle 1 of the Health – General Article.
(b)The purpose of this section is to assist in the stabilization of the individual health insurance market by assessing a health insurance provider fee that is attributable to State health risk for calendar years 2019 through 2028, both inclusive, as provided for under subsection
(c)of this section.
(1)In calendar year 2019, in addition to the amounts otherwise due under this subtitle, an entity subject to this section shall be subject to an assessment of 2.75% on all amounts used to calculate the entity’s premium tax liability under § 6–102 of this subtitle or the amount of the entity’s premium tax exemption value for calendar year 2018.
(2)In calendar years 2020 through 2028, both inclusive, in addition to the amounts otherwise due under this subtitle, an entity subject to this section shall be subject to an assessment of 1% on all amounts used to calculate the entity’s premium tax liability under § 6–102 of this subtitle or the amount of the entity’s premium tax exemption value for the immediately preceding calendar year.
(3)The assessments required in paragraphs
(1)and
(2)of this subsection are for products that:
(i)were subject to § 9010 of the Affordable Care Act, as in effect on December 1, 2019; and
(ii)may be subject to an assessment by the State.
(4)The calculation of the assessments required under paragraphs
(1)and
(2)of this subsection shall be made without regard to:
(i)the threshold limits established in § 9010(b)(2)(A) of the Affordable Care Act; or
(ii)the partial exclusion of net premiums provided for in § 9010(b)(2)(B) of the Affordable Care Act.
(i)In each of fiscal years 2021 and 2022, $100,000,000 of the funds collected from the assessment required under this section shall be transferred in accordance with subparagraphs
(ii)and
(iii)of this paragraph to Medical Care Provider Reimbursements (M00Q01.03) within the Medical Care Programs Administration of the Maryland Department of Health.
(ii)If all or a portion of the funds required to be transferred under subparagraph
(i)of this paragraph have been received and are held in the Maryland Health Benefit Exchange Fund established under § 31–107 of this article, the Governor shall transfer the available amount in the Fund.
(iii)If the amount of funds transferred under subparagraph
(ii)of this paragraph is less than the amount required to be transferred under subparagraph
(i)of this paragraph, the Insurance Commissioner shall transfer the remaining amount from the funds collected from the assessment required under this section.
(2)At the beginning of each of fiscal years 2023 and 2024, the Governor shall transfer the first $8,000,000 of the funds collected from the assessment required under this section to the Community Health Resources Commission.
(3)Notwithstanding § 2–114 of this article, the remainder of the assessment required under this section after any transfers made under paragraphs
(1)and
(2)of this subsection shall be distributed by the Commissioner to the Maryland Health Benefit Exchange Fund established under § 31–107 of this article.
§6–102.1. ** CONTINGENCY – NOT IN EFFECT – CHAPTERS 597 AND 598 OF 2019 **
(1)This section applies to:
(i)except as provided in paragraph
(2)of this subsection, an insurer, a nonprofit health service plan, a health maintenance organization, a dental plan organization, a fraternal benefit organization, and any other person subject to regulation by the State that provides a product that:
1. was subject to the fee under § 9010 of the Affordable Care Act, as in effect on December 1, 2019; and
2. may be subject to an assessment by the State; and
(ii)a managed care organization authorized under Title 15, Subtitle 1 of the Health – General Article.
(2)This section does not apply to a stand–alone dental plan carrier or a stand–alone vision plan carrier.
(b)The purpose of this section is to recoup the aggregate amount of the health insurance provider fee that otherwise would have been assessed under § 9010 of the Affordable Care Act that is attributable to State health risk for calendar year 2019 as a bridge to stability in the individual health insurance market.
(1)In calendar year 2019, in addition to the amounts otherwise due under this subtitle, an entity subject to this section shall be subject to an assessment of 2.75% on all amounts used to calculate the entity’s premium tax liability under § 6–102 of this subtitle or the amount of the entity’s premium tax exemption value for calendar year 2018.
(2)Notwithstanding § 2–114 of this article, the assessment required under this section shall be distributed by the Commissioner to the Maryland Health Benefit Exchange Fund established under § 31–107 of this article.