MD Insurance Bulletin 25-06

2025 Network Access Plan Filing Instructions

Year: 2025Length: 324 wordsOfficial source
WES MOORE Governor ARUNA MILLER Lt. Governor BULLETIN 25-6 Date: April 22, 2025 To: Insurers, Nonprofit Health Service Plans, Health Maintenance Organizations and Dental Plan Organizations (Carriers) Re: 2025 Network Access Plan Filing Instructions The purpose of this bulletin is to notify insurance carriers and those entities that use provider panels for health benefit plans and dental plans of the filing deadlines and changes to the filing process for the filing of the annual access plans for 2025. Health Benefit Plan Filings Code of Maryland Regulations (“COMAR”) 31.10.44.04 requires that “each carrier subject to this chapter shall file an annual access plan with the Commissioner on or before July 1 of each year for each provider panel used by the carrier.” COMAR 31.10.44.04I provides that the Commissioner may issue a bulletin designating a later filing deadline than July 1 for the information described in §§C(3), (4), and (12) of Regulation .04. For 2025, pursuant to COMAR 31.10.44.04, the MIA is directing carriers to submit the annual access plan filings for health benefit plans through SERFF in accordance with the Annual Filing Instructions posted on the Network Adequacy Regulations Information page of the MIA website. With the exception of the information described in COMAR 31.10.44.04C(3), (4), and (12), the filings must be submitted by July 1, 2025. The additional information required by COMAR 31.10.44.04C(3), (4), and (12) must be submitted, in the same SERFF filing as the annual access plan, by October 1, 2025. The Annual Filing Instructions on the MIA website provide detailed guidance on filing content and format, and should be reviewed in full prior to preparing and submitting a filing. A separate SERFF filing must be submitted for each distinct provider panel or network when the same carrier uses multiple networks for health benefit plans in Maryland. Carriers are expected to MARIE GRANT Commissioner JOY Y. HATCHETTE Deputy Commissioner 200 St. Paul Place, Suite 2700, Baltimore, Maryland 21202 1-800-492-6116 TTY: 1-800-735-2258 www.insurance.maryland.gov
MD Insurance Bulletin 25-06: 2025 Network Access Plan Filing Instructions | Justis AI