MD Insurance Bulletin 21-12
COVID-19 State of Emergency: Renewal of Suspension of Individual Health Benefit Plan Cancellations and Nonrenewals Due to Nonpayment of Premium
BULLETIN 21-12
To:
All Health Carriers Offering Individual Health Benefit Plans
Re:
COVID-19 State of Emergency: Renewal of Suspension of Individual Health
Benefit Plan Cancellations and Nonrenewals Due to Nonpayment of Premium.
Date:
May 24, 2021
On March 5, 2020, Governor Larry Hogan issued a Proclamation declaring a State of Emergency
and that a Catastrophic Health Emergency exists in the State of Maryland. The Proclamation was
most recently renewed on May 12, 2021. On August 11, 2020, the Commissioner issued Bulletin
20-30 (Revised), which required health carriers to suspend health benefit plan cancellations and
nonrenewals under certain circumstances for a period of 60 days from July 30, 2020. The
Commissioner subsequently issued Bulletins 20-39, 20-42, 21-05, and 21-10 to renew the
requirement for additional 60-day periods.
In consideration of the renewal of the Governor’s Proclamation and pursuant to § 2-115 of the
Insurance Article and COMAR 31.01.02.05 and 06, the Commissioner is invoking her emergency
powers to reactivate COMAR 01.02.06A(1), which provides that the Commissioner may require
health carriers to: “Suspend health benefit cancellations and nonrenewals.”
Accordingly, effective immediately, health carriers are to suspend health benefit
cancellations and nonrenewals of individual health policies for non-payment of premium,
unless the conditions set forth below are satisfied.
The Commissioner is activating this requirement only with respect to individual health benefit
plans, as defined in § 15-1301 of the Insurance Article. Additionally, the Commissioner is only
requiring carriers to suspend cancellations and nonrenewals due to nonpayment of premium.
Cancellations and nonrenewals for reasons other than nonpayment of premium that are otherwise
permitted by the terms of the contract and applicable law are still permitted.
Notwithstanding the above, a health carrier is permitted to cancel or non-renew an individual
health benefit plan due to nonpayment of premium if:
KATHLEEN A. BIRRANE
Commissioner
GREGORY M. DERWART
Deputy Commissioner
LARRY HOGAN
Governor
BOYD K. RUTHERFORD
Lt. Governor
200 St. Paul Place, Suite 2700, Baltimore, Maryland 21202
1-800-492-6116 TTY: 1-800-735-2258
www.insurance.maryland.gov
Open Enrollment or the Coronavirus Emergency Special Enrollment Period offered by the
Maryland Health Benefit Exchange (“Exchange”) is in effect; AND
The health carrier has complied with the grace period and notice requirements set forth in the
policy being terminated; AND
The health carrier provides an additional written notice of date of termination at least 10-days
prior to the effective date of termination that includes a disclosure statement in at least 12-point
bold type advising the member that the Exchange is offering a Coronavirus Emergency Special
Enrollment Period, that subsidies for the payment of premium may be available, if the member
is eligible; that coverage through the Exchange does not depend on the payment of any
premium owed under the policy being terminated; and providing the web address and toll-free
number for the Maryland Health Connection; AND
The termination is effective on the last day of a month.
This regulation shall be in effect for a period of 60 days from May 26, 2021, at which time the
Commissioner will determine whether to renew the Bulletin. The regulations previously activated
in Bulletins 20-05 and 20-36 shall remain in effect until the emergency declaration is lifted or the
Commissioner issues a Bulletin deactivating the regulations at issue.
Questions about this Bulletin may be directed to the Life & Health Unit of the Maryland
Insurance Administration at 410-468-2170.
KATHLEEN A. BIRRANE
Commissioner
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