Agenda: MIA/MHBE Joint Meeting to Discuss Assistance to Small Business, October 1, 2026

​​Agenda: MIA/MHBE Joint Meeting to Discuss Assistance to Small Business Thursday, October 1 1:00PM – 4:00 PM


This meeting is virtual through the Zoom platform.
ZoomGov Registration Link: https://maryland-insurance.zoomgov.com/webinar/register/WN_sCIQ-BtzTgiyeywUlmagVg

After registering, you will receive a confirmation email containing information about joining the meeting.


  1. Welcome – Marie Grant, Insurance Commissioner, Maryland Insurance Administration and Johanna Fabian-Marks, Executive Director, Maryland Health Benefit Exchange 

  2. Maryland Insurance Administration (MIA) Presentation: Overview of Small Group Market Trends and Challenges

  3. Maryland Health Benefit Exchange (MHBE) Presentation:  Current and Ongoing Efforts to Support Small Business 

  4. Discussion of Potential Policy Levers

    • Possible Changes to stop-loss regulation for the small-group market

    • Potential merger of individual and small group market 

    • Possible support for ICHRA/CHOICE plans

  5. Stakeholder Feedback – Stakeholders Provide Feedback and Discussion of Small Group Market Challenges 

  6. Closing Remarks


If you would like to offer public comments during the virtual public meeting, please sign up in advance by emailing Amelia Marcus at [email protected]. The MIA and MHBE can only assure the opportunity to speak during the virtual public hearing to those interested parties who have signed up by Tuesday, September 29, 2026.