{"data":{"id":"us-md/md.-code-insurance-15-1315","jurisdiction":"us-md","citation":"Md. Code, Insurance § 15–1315","heading":"","body":"(a) (1) In this section the following words have the meanings indicated.\n(2) “Individual Exchange” has the meaning stated in § 31–101 of this article.\n(3) “Qualified health plan” has the meaning stated in § 31–101 of this article.\n(4) “Qualified individual” has the meaning stated in § 31–101 of this article.\n(b) This section applies to a qualified health plan that is issued on or after January 1, 2014, by a carrier through the Individual Exchange.\n(c) A qualified health plan subject to this section shall include a grace period provision applicable to a qualified individual who:\n(1) is receiving advance payments of federal premium tax credits; and\n(2) fails to pay premiums timely.\n(d) The grace period provision shall:\n(1) provide a grace period of 3 consecutive months after the initial premium payment to begin coverage has been paid;\n(2) apply to qualified health plans renewed in accordance with § 15–1309 of this subtitle without the qualified individual having to pay the first month’s premium following renewal; and\n(3) be in addition to any other grace period provision required by any other applicable State law.\n(e) During the grace period, a carrier that issues a qualified health plan subject to this section:\n(1) shall pay all appropriate claims for services rendered to the qualified individual during the first month of the grace period;\n(2) may pend claims for services rendered to the qualified individual in the second and third months of the grace period;\n(3) shall notify the federal Department of Health and Human Services that the qualified individual is in the grace period; and\n(4) shall notify providers of the possibility that claims may be denied when a qualified individual is in the second and third months of the grace period.","path":["Article - Insurance"],"source_url":"https://mgaleg.maryland.gov/mgawebsite/Laws/StatuteText?article=gin\u0026section=15-1315","current_through":"2026-01-01","vintage":"","retrieved_at":"2026-09-14T19:59:28Z","sha256":"47feaba465985edba4ba9bec230d478cdc9b8178299650778adee47498f3886f","source_id":"us-md","stale":false,"prev":"us-md/md.-code-insurance-15-1314","next":"us-md/md.-code-insurance-15-1316"},"notice":"GroundRules: Original legal text. Not legal advice."}