Maryland Code, INSURANCE 31-118
Terms Used In Maryland Code, INSURANCE 31-118
- Fraud: Intentional deception resulting in injury to another.
- state: means :
(1) a state, possession, territory, or commonwealth of the United States; or
(2) the District of Columbia. See - User fees: Fees charged to users of goods or services provided by the government. In levying or authorizing these fees, the legislature determines whether the revenue should go into the treasury or should be available to the agency providing the goods or services.
(1) impose user fees, licensing or other regulatory fees, or other assessments that do not exceed reasonable projections regarding the amount necessary to support the operations of the Exchange under this subtitle; or
(2) otherwise generate funding necessary to support its operations under this subtitle.
(b) Any fees, assessments, or other funding mechanisms shall be imposed or implemented, to the maximum extent possible, in a manner that is transparent and broad-based.
(c) Before imposing or altering any fee or assessment established by law, the Exchange shall adopt regulations that specify:
(1) the persons subject to the fee or assessment;
(2) the amount of the fee or assessment; and
(3) the manner in which the fee or assessment will be collected.
(d) Funds collected through any fees, assessments, or other funding mechanisms:
(1) shall be deposited in the Fund;
(2) shall be used only for the purposes authorized under this subtitle; and
(3) may not be used for staff retreats, promotional giveaways, excessive executive compensation, or promotion of federal or State legislative and regulatory actions.
(e) The Exchange may not impose fees or assessments authorized under this section in a manner that would provide a competitive disadvantage to health benefit plans operating outside of the Exchange.
(f) The Exchange shall maintain a website on which it shall publish:
(1) the average amounts of any fees, assessments, or other payments required by the Exchange;
(2) the administrative costs of the Exchange; and
(3) the amount of funds known to be lost through waste, fraud, and abuse.