1. A. An individual’s enrollment shall be reinstated:

   1. (1) If applicable, under QHP provisions required by COMAR 31.10.25.04;
   2. (2) If the Exchange determines an error was made by the Exchange that led to an improper termination or cancellation;
   3. (3) If the carrier determines an error was made by the carrier that led to an improper termination or cancellation; or
   4. (4) If the Exchange is ordered to reinstate the enrollee by the Maryland Insurance Administration, Office of Administrative Hearings, or a State or federal court.
2. B. If the carrier erroneously terminates or cancels an enrollee’s coverage, including if the coverage was terminated or canceled for non-payment of premiums, a carrier shall process a reinstatement transaction from the Exchange.

Authority: Insurance Article, §§31-106(c)(1)(iv) and 31-108(b)(1) and (6), Annotated Code of Maryland

Effective date: June 8, 2015 (42:11 Md. R. 726)

Regulations .01—.07 repealed and new Regulations .01—.10 adopted effective March 11, 2019 (46:5 Md. R. 308)

Regulation .04F adopted effective February 17, 2025 (52:3 Md. R. 160)

Regulation .06F adopted effective February 19, 2024 (51:3 Md. R.154)

Regulation .07C adopted effective February 19, 2024 (51:3 Md. R.154)