Code of Maryland Regulations
Title 14 - INDEPENDENT AGENCIES
Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE
Chapter 14.35.18 - Small Business Health Options Program
Section 14.35.18.08 - Premium Rating
Universal Citation: MD Code Reg 14.35.18.08
Current through Register Vol. 51, No. 6, March 22, 2024
A. Premium Rating.
(1) The total premium charged to a small group shall be developed using a per-member rating method.
(2) For each covered employee and their covered dependents, the premium shall be determined as follows:
(a) For each adult age 21 and over, multiply the base rate by the applicable age and geographic area factors; and
(b) For each covered child age 0-20, multiply the base rate of the oldest three children by the applicable age and geographic area factors.
B. Composite Billing.
(1) Composite billing is available only under the employer choice model set forth in Regulation .06A of this chapter.
(2) The SHOP Exchange will determine premiums under composite billing based on instructions issued by the Commissioner.
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