Code of Maryland Regulations
Title 31 - MARYLAND INSURANCE ADMINISTRATION
Subtitle 10 - HEALTH INSURANCE-GENERAL
Chapter 31.10.51 - Mental Health Benefits and Substance Use Disorder Benefits - Reports on Nonquantitative Treatment Limitations and Data
Section 31.10.51.04 - Filing of Nonquantitative Treatment Limitation Comparative Analysis Report
Current through Register Vol. 51, No. 6, March 22, 2024
A. For the five health benefit plans with the highest enrollment for each product offered by the carrier in the individual, small, and large group markets, a carrier that delivers or issues for delivery a health benefit plan in the State shall file a comparative analysis for each nonquantitative treatment limitation specified in the form required by the Commissioner, to demonstrate the carrier's compliance with Insurance Article, § 15-144(c) - (e), Annotated Code of Maryland. An analysis report shall be filed with the Commissioner using only the form developed by the Commissioner and posted on the Administration's website.
B. Carriers shall prepare the analysis report in coordination with any entity the carrier contracts with to provide, manage, or administer MH/SUD benefits.
C. Carriers shall follow the instructions posted on the Administration's website to complete the analysis report.
D. A complete analysis report shall include responses to each section of the standardized form, as described in the instructions posted on the Administration's website.
E. Each analysis report shall contain a statement, signed by a corporate officer, attesting to the accuracy of the information contained in the analysis report.
F. Failure to file a complete analysis report shall result in penalties described in Insurance Article, § 15-144(j), Annotated Code of Maryland.
G. Complete Analysis Report.