Code of Maryland Regulations
Title 14 - INDEPENDENT AGENCIES
Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE
Chapter 14.35.07 - Eligibility Standards for Enrollment in a Qualified Health Plan, Eligibility Standards for APTC and CSR, and Eligibility Standards for Enrollment in a Catastrophic Qualified Health Plan in the Individual Exchange
Section 14.35.07.09 - Eligibility Requirements for Cost-Sharing Reductions
Current through Register Vol. 51, No. 6, March 22, 2024
A. An applicant shall be determined eligible for cost-sharing reductions if the applicant:
B. An applicant is eligible for:
C. To the extent that an enrollment in a QHP under a single policy covers two or more individuals who, if the individuals were to enroll in separate individual policies, would be eligible for different CSR plan variations, the individuals under the policy are collectively eligible only for the category of eligibility listed below for which all the individuals covered by the policy would be eligible:
D. Except as set forth in §E of this regulation, to receive cost-sharing reductions, an applicant shall enroll in a silver-plan variation of a QHP.
E. Special Cost-Sharing Rules for Indians.
Tribal Organization, or Urban Indian Organization or through referral under contract health services.
F. Changes in enrollment in a plan with a CSR under this regulation are effective based on the effective dates under Regulation .081 of this chapter.
G. Eligibility under this regulation is contingent upon verification of the applicant's attestation that the applicant meets the criteria stated in this regulation.