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Code of Maryland Regulations
Title 14
§ 35
Chapter 07
Md. Code Regs. 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
Effective Feb 17, 2025
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.01
Scope.
.02
Definitions.
.03
Applying for Coverage Through the Individual Exchange.
.04
Notice Requirements.
.05
Eligibility Requirements for Enrollment in a Qualified Health Plan Through the Individual Exchange.
.06
General Eligibility Requirements — Citizenship and Immigration Status.
.07
General Eligibility Requirements — Residency in Individual Exchange Service Area.
.08
Eligibility Requirements for Advance Payments of the Premium Tax Credit.
.09
Eligibility Requirements for Cost — Sharing Reductions.
.10
Eligibility Requirements for Enrollment in a Catastrophic Plan.
.11
Enrollment in a QHP or Insurance Affordability Program Through the Individual Exchange.
.12
Special Enrollment Periods — Loss of Minimum Essential Coverage or Termination of Other Specified Coverage Through the Individual Exchange.
.13
Special Enrollment Periods — Change in Family Status Through the Individual Exchange.
.14
Special Enrollment Period — Error, Misrepresentation, or Inaction through the Individual Exchange.
.15
Special Enrollment Period — Misconduct Through the Individual Exchange.
.16
Special Enrollment Period — Violation of Material Provision Through the Individual Exchange.
.17
Special Enrollment Period — Exceptional Circumstances Through the Individual Exchange.
.18
Special Enrollment Period — Permanent Move.
.19
Special Enrollment Period — Other.
.20
Exemptions.
.21
Authorized Representative.
.22
Medicaid to Private Plan Enrollment Program.
.23
QHP Re-Enrollments—In General.