- A. In this chapter, the following terms have the meanings indicated.
B. Terms Defined.
- (1) “Enrollee” means a qualified individual who is enrolled in a qualified health plan through the Individual Exchange.
- (2) “Essential health benefit” has the meaning set forth in Insurance Article, §31-116(a), Annotated Code of Maryland, and 42 U.S.C. §18022(b).
- (3) “Federal poverty level (FPL)” means the most recently published federal poverty level guidelines, updated periodically in the Federal Register by the Secretary of HHS as set forth in 42 U.S.C. §9902(2), as of the first day of the open enrollment period for qualified health plans (QHPs) offered through the Individual Exchange for a calendar year.
- (4) “Program” means the State-Based Health Insurance Subsidies Program.
Authority: Insurance Article §31-106(c)(1)(iv); Annotated Code of Maryland
Effective date:
Regulations .01 — .07 adopted as an emergency provision effective July 11, 2025 (52:16 Md. R. 845); adopted permanently effective October 13, 2025 (52:20 Md. R. 1003)