- Utilization Review Criteria for Substance Use Disorder Benefits
Bulletin 19-18
October 16, 2019
- Exemption from Participation in the Maryland Health Benefit Exchange in 2020
Bulletin 19-17
September 23, 2019
- HB 751 - Demographic Information
Bulletin 19-16
September 19, 2019
- Pharmacy Benefits Managers - Registration and Renewal Fees
Bulletin 19-15
September 12, 2019
- Revised PBM Bulletin (Replaces Bulletin 19-04)
Bulletin 19-11
July 12, 2019
- The Calculation of Interest under 15-1005 (g)
Bulletin 19-07
July 10, 2019
- Maryland HB 193, Chapter 533 - Life of A Minor
Bulletin 19-10
July 8, 2019
- 2019 Network Adequacy Filing Reminder
Bulletin 19-08
June 12, 2019
- Maryland HB 754 Emergency Bill, Effective May 13, 2019
Bulletin 19-04
May 13, 2019
- 2020 Affordable Care Act ("ACA") Individual and Small Employer Form and Rate Filing Instructions
Bulletin 19-01
January 15, 2019
- Student Health Plan Form and Rate Filing Instructions for the 2019-2020 School Year
Bulletin 18-26
December 19, 2018
- Enterprise Complaint Tracking System ("ECTS"): License Portal
Bulletin 18-25
December 11, 2018
- Updated Life Insurance Application Filing Requirement Changes for Insuring Minors
Bulletin 18-24
December 5, 2018
- Life Insurance Application Filing Requirement Changes for Insuring Minors
Bulletin 18-22
October 17, 2018
- Exemption from Participation in the Maryland Health Benefit Exchange in 2019
Bulletin 18-21
October 17, 2018
- Medical Stop Loss Insurance and Utilization Review
Bulletin 18-20
October 17, 2018
- Lifting of Emergency Regulation COMAR 31.01.02.06A(3 & 4)
Bulletin 18-19
September 24, 2018
- Activation of Emergency Regulation COMAR 31.01.02.06A(3 & 4)
Bulletin 18-17
September 11, 2018
- Maryland Health Care Access Act of 2018 - Assessment Implementation
Bulletin 18-16
August 21, 2018
- New Federal Association Health Plan Regulations
Bulletin 18-15
August 20, 2018
- Activation of Emergency Regulation COMAR 31.01.02.06A(3 & 4)
Bulletin 18-14
July 11, 2018
- Cancellations of Insurance Policies
Bulletin 18-09
May 29, 2018
- Activation of Emergency Regulation COMAR 31.01.02.06A(3 & 4)
May 29, 2018
Bulletin 18-08
- Cancellations of Insurance Policies
May 23, 2018
Bulletin 18-07
- 2019 Affordable Care Act ("ACA") Individual and Small Employer Form Rate Filing Instructions
January 26, 2018
Bulletin 18-03
- Exemption from Participation in the Maryland Health Benefit Exchange in 2018
January 3, 2018
Bulletin 18-01
- Modification of Coverage Requirements for Behavioral Health Disorders
December 18, 2017
Bulletin 17-17
- Student Heath Plan Form and Rate Filing Instructions for the 2018-2019 School Year
December 11, 2017
Bulletin 17-13
- Section 15-830(g) of the Insurance Article, Chapter 309, 2016 Acts - Referrals to Specialists, Copy of Procedures Filed with Commissioner
October 31, 2017
Bulletin 17-12
- Health Maintenance Organization and Dental Plan Orgainzation Provider Contract Filing Instructions
October 30, 2017
Bulletin 17-11
- Acceptance by Insurers, Producers, and Surplus Lines Brokers of Credit Cards to Pay insurance premiums and the Collecting of Credit Card Fees
September 22, 2017
Bulletin 17-10
- Notice and Disclosure Requirements under House Bill 493
September 8, 2017
Bulletin 17-08
- Applications Requested for Life & Health and Property & Casualty Insurance Advisory Boards
June 16, 2017
Bulletin 17-05
- Section 15-143 Participation Agreement Review
May 19, 2017
Bulletin 17-04
- 2018 Affordable Care Act ("ACA") Individual and Small Employer Form and Rate Filing Instructions
January 20, 2017
Bulletin 17-02
- Public Rate Hearings and Posting of Insurance Actuarial Memoranda
January 3, 2017
Bulletin 17-01
- Student Health Plan Form and Rate Filing Instructions for the 2017-2018 School Year
December 28, 2016
Bulletin 16-35
- New Reporting Instructions and Forms for cases under §27-1001 of the Insurance Article and §3-1701 of the Courts and Judical Proceedings Article
October 21, 2016
Bulletin 16-30
- Lifting of Prescription Medication Refill Waiver and the Waiver of the Time Restrictions on the Replacement of Durable Medical Equipment or Supplies, Eyeglasses and Dentures
September 1, 2016
Bulletin 16-28
- Requirements Applicable to Retained Asset Accounts
August 16, 2016
Bulletin 16-26
- Cancellations of Insurance Policies
August 3, 2016
Bulletin 16-23
- Activation of Emergency Regulation COMAR 31.01.02.06A(3 & 4)
August 3, 2016
Bulletin 16-24
- Rescission of Bulletin 02-09 - "Flexible Premium Universal Life (UL) and Variable Premium Universal Live (VUL) Policy Forms Containing Long-Term Secondary Guarantees"
July 19, 2016
Bulletin 16-21
- Draft Proposed Regulations 31.14 Long-Term Care
June 28, 2016
Bulletin 16-19
- Exemption from Participation in the Maryland Health Benefit Exchange in 2017
April 20, 2016
Bulletin 16-13
- Amendments to COMAR 31.13.01.15 - Prima Facie Premium Rates for Credit Health Insurance issued on the Monthly Outstanding Balance Basis
April 6, 2016
Bulletin 16-11
- Lifting of the Prescription Medication Refill Waiver
January 29, 2016
Bulletin 16-07
- Activation of Emergency Regulation COMAR 31.01.02.06A(3)
January 22, 2016
Bulletin 16-04
- Maryland Small Group Health Composite Premiums for Multiple Plans
December 30, 2015
Bulletin 15-34
-
December 10, 2015
Bulletin 15-33
- Student Health Plan Form and Rate Filing Instructions for the 2016-2017 School Year
December 7, 2015
Bulletin 15-32
- Adoption of COMAR 31.10.43 - Medical Stop-Loss Disclosure for Small Employers
November 13, 2015
Bulletin 15-28
- Definition of Small Employer - NOT Expanding to 100 Lives on or after January 1, 2016
October 8, 2015
Bulletin 15-27
- Draft Disclosure Notice for Small Employers Regarding Medical Stop-Loss Insurance
June 17, 2015
Bulletin 15-18
- Lifting of the Prescription Medication Refill Waiver (Bulletin 15-09)
May 6, 2015
Bulletin 15-11
- Activation of Emergency Regulation COMAR 31.01.02.06A(3)
April 30, 2015
Bulletin 15-09
- Physician Rating Systems - Annual Reporting Requirement
April 24, 2015
Bulletin 15-08
- Exemption from Participation in the Maryland Health Benefit Exchange in 2016
March 23, 2015
Bulletin 15-06
- Filing Requirements Regarding Breast Implants
§15-105, Insurance Article
January 14, 2015
Bulletin 15-02
- 2016 Affordable Care Act Individual and Small Employer Form and Rate Filing Deadlines
January 9, 2015
Bulletin 15-01
- Student Health Plan Form and Rate Filing Instructions for the 2015-2016 School Year
December 17, 2014
Bulletin 14-26
- Continuity of Health Care Notices (amended)
originally issued September 29, 2014, amended November 20, 2014
Bulletin 14-22
- SERFF Public Documents to Be Available via Maryland Insurance Administration Website
September 18, 2014
Bulletin 14-21
- Maryland Small Group Health Composite Premiums
August 27, 2014
Bulletin 14-20
- Senate Bill 790 - Draft Proposed Standardized Form - Request for Confidential Communications
June 20, 2014
Bulletin 14-18
- Extension of Federal Transitional Policy for Non-Compliant Health Benefit Plans
March 21, 2014
Bulletin 14-09
- Inducements, Rebates, or Other Considerations
March 19, 2014
Bulletin 14-08
- Utilization Review of Treatment for Autism and Autism Spectrum Disorders COMAR 31.10.39
March 17, 2014
Bulletin 14-07
- Exemption from Participation in the Maryland Health Benefit Exchange in 2015
March 10, 2014
Bulletin 14-06
- Guaranteed Availability of Group Health Benefit Plans
February 20, 2014
Bulletin 14-05
- 2015 Affordable Care Act ("ACA") Individual and Small Employer Form and Rate Filing Instructions
February 7, 2014
Bulletin 14-03
- Clarification of Coverage for Transgender Individuals
January 27, 2014
Bulletin 14-02
- Clarification of Small Group Rating Rules for Family Coverage
December 13, 2013
Bulletin 13-31
- Renewal of Health Benefit Plans That Do Not Comply with Certain Affordable Care Act Requirements
November 19, 2013
Bulletin 13-30
- Filing Requirement Regarding Breast Implants
October 25, 2013
Bulletin 13-29
- Segregation of Funds for Certain Abortion Services Covered under Qualified Health Plans Sold on the Individual Exchange
July 31, 2013
Bulletin 13-24
- Fair Marketing Standards for Captive Producers
July 15, 2013
Bulletin 13-22
- Renewal of Grandfathered Health Benefit Plans and Non-Grandfathered Health Benefit Plans after December 31, 2013
July 3, 2013
Bulletin 13-21
- Substance Use Disorder Services - Provider Network
June 13, 2013
Bulletin 13-19
- Soliciting or Advertising the Sale of Medicare Advantage Plans, Medicare Advantage Prescription Drug Plans, Prescription Drug Plans, and Section 1876 Cost Plans
May 23, 2013
Bulletin 13-16
- 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
- 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
- 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
Below are referenced templates in a Word format:
Individual Plans
Group Non-Grandfathered Plans
Group Grandfathered Plans
- 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
- 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
- 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
- COMAR 31.10.27 Notice of the Maryland Health Insurance Plan
December 20, 2002
Life & Health 02-28
- Credentialing of Providers by a Credentialing Intermediary
November 20, 2002
Life & Health 02-25
- Small Group Health Insurance -- Self-Employed Individuals
October 17, 2002
Life & Health 02-21
- COMAR 31.10.11.14 Uniform Claim Forms (Clean Claims) Semi-Annual Claims Data Filing
September 16, 2002
Life & Health 02-18
- Notification of Promulgation of COMAR31.13.03, Standards for Credit Involuntary Unemployment Benefit Insurance
July 30, 2002
Life & Health 02-15
- Request for Notice of Interest: Maryland Health Insurance Plan
June 19, 2002
Life & Health 02-13
- Notice of Amended Long-Term Care Insurance Regulations
April 12, 2002
Life & Health 02-10
- Flexible Premium Universal Life (UL) and Variable Premium Universal Life (VUL) Policy Forms Containing Long-Term
- Secondary Guarantees
April 11, 2002
Life & Health 02-09
- Contract Filings for Insurers and Nonprofit Health Services Plans Participating in Small Group Market
March 28, 2002
Life & Health 02-5
- Contract Filings for HMOs Participating in the Small Group Market
March 28, 2002
Life & Health 02-4
- Implementation of Chapter 323, Acts of the General Assembly of 2000 Downstream Risk Regulation
December 22, 2000
Life & Health 00-26
- Revisions to COMAR 31.13.01 - Standards for Credit Life and Credit Health Insurance
December 12, 2000
Life & Health 00-25
- Enforcement of Gramm-Leach-Bliley Privacy Regulations
November 17, 2000
Life & Health 00-22
- Uniform Treatment Plan Form Regulations
September 20, 2000
Life & Health 00-19
- Uniform Treatment Plan Form
August 15, 2000
- Attachment to Life & Health 00-15
June 23, 2000
- Maryland Continuation Coverage
June 23, 2000
Life & Health 00-15
- Reduction of Benefits for Medicare Eligible Employees
June 14, 2000
Life & Health 00-14
- Small Employer Groups: Revised Rules for Eligibility and Group Size
June 14, 2000
REVISED Life & Health 00-12
- Regulation of DownStream Risk
June 7, 2000
Life & Health 00-13
See Insurer Services - Company Filing Requirements to print the form.
- Revised Definition of Small Employer
May 2, 2000
Life & Health 00-12
- Utilization Review Criteria & Standards Disclosure to Providers
May 2, 2000
Life & Health 00-11
- Contract Filings 00-9
March 8, 2000
Life & Health 00-9
- Contract Filings 00-08
March 8, 2000
Life & Health 00-08
- Life, Accident and Health Insurers Required Filings Checklist
March 1, 2000
Life & Health 00-07
- Rescission of MIA position as stated in Wickenden Letter
February 23, 2000
Life & Health 00-4
- Revision to Regulation--Limitation on Implementing Rate Increases
February 15, 2000
Life & Health 00-3
- Offer of Standard Plan and Additional Benefits
January 7, 2000
Life & Health 00-01
- Denial of Ancillary Charges
December 22, 1999
Life & Health 99-25
- Medical Clinical Trails Reporting
December 22, 1999
Life & Health 99-24
- Revision to Regulations--Limitations on Implementing Rate Increases
December 10, 1999
Life & Health 99-23
- Application of the Prompt Payment Statute When A Payer Advances Working Capital to a Hospital
September 24, 1999
Life & Health 99-19
- Contract Filings - Small Group Carriers
September 17, 1999
Life & Health 99-18
- Contract Filings 99-17
August 17, 1999
Life & Health 99-17
- Required Filings of Procedures for Specialist Referrals
August 4, 1999
Life & Health 99-16
- Rate and Form Filing Fees
June 7, 1999
Life & Health 99-12
- Private Review Agents
May 6, 1999
Life & Health 99-10
- Rotavirus Vaccine Coverage
May 5, 1999
Life & Health 99-08
- Rotavirus Vaccine Coverage
May 5, 1999
Life & Health 99-09
- Review of Application for Private Review Agent Certification
April 8, 1999
Life & Health 99-07
- Licensed Clinical Professional Counselors
March 26, 1999
Life & Health 99-06
- Contract Filings 99-03
March 17, 1999
Life & Health 99-03
- Contract Filings - Small Group HMOs
March 17, 1999
Life & Health 99-04
- Group Contracts: Retroactive Termination and Adverse Decisions
January 7, 1999
Life & Health 99-20
- Denial of Coverage Based on Medical Necessity. Internal Grievance Process
January 7, 1999
Life & Health 99-01
Bulletin 16-28 |
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