1. (a)

   1. (1) This section applies to:

      1. (i) except as provided in paragraph (2) of this subsection, an insurer, a nonprofit health service plan, a health maintenance organization, a dental plan organization, a fraternal benefit organization, and any other person subject to regulation by the State that provides a product that:

      2. 1. was subject to the fee under § 9010 of the Affordable Care Act, as in effect on December 1, 2019; and

         1. 2. may be subject to an assessment by the State; and
      3. (ii) a managed care organization authorized under Title 15, Subtitle 1 of the Health--General Article.
   2. (2) This section does not apply to a stand-alone dental plan carrier or a stand-alone vision plan carrier.
2. (b) The purpose of this section is to recoup the aggregate amount of the health insurance provider fee that otherwise would have been assessed under § 9010 of the Affordable Care Act that is attributable to State health risk for calendar year 2019 as a bridge to stability in the individual health insurance market.

3. (c)

   1. (1) In calendar year 2019, in addition to the amounts otherwise due under this subtitle, an entity subject to this section shall be subject to an assessment of 2.75% on all amounts used to calculate the entity's premium tax liability under § 6-102 of this subtitle or the amount of the entity's premium tax exemption value for calendar year 2018.
   2. (2) Notwithstanding § 2-114 of this article, the assessment required under this section shall be distributed by the Commissioner to the Maryland Health Benefit Exchange Fund established under § 31-107 of this article.

<Section effective upon contingency specified in Acts 2019, c. 597, § 3; Acts 2019, c. 598, § 3. See, also, section 6-102.1 effective until contingency specified in Acts 2019, c. 597, § 3; Acts 2019, c. 598, § 3.>

Added by Acts 2018, c. 37, § 1, eff. April 10, 2018; Acts 2018, c. 38, § 1, eff. April 10, 2018. Amended by Acts 2019, c. 597, § 1, eff. Oct. 1, 2019; Acts 2019, c. 598, § 1, eff. Oct. 1, 2019; Acts 2019, c. 597, § 2; Acts 2019, c. 598, § 2; Acts 2020, c. 104, § 1, eff. July 1, 2020; Acts 2020, c. 105, § 1, eff. July 1, 2020; Acts 2021, c. 150, § 2, eff. June 1, 2021; Acts 2022, c. 59, § 1, eff. Oct. 1, 2022.