Maryland 2024 Regular Session

Maryland Senate Bill SB227

Introduced
1/10/24  

Caption

Health Insurance – Cancellation of Individual Health Benefit Plans – Restriction

Impact

The proposed legislation will have significant implications for the regulation of health insurance practices in Maryland. It modifies existing laws by creating additional constraints on when an insurer can cancel individual policies. This not only aims to protect consumers from losing their coverage due to minor payment issues but also aligns with broader public health goals by ensuring that more residents maintain access to health care services. The law will take effect on October 1, 2024, giving insurance carriers time to adjust their policies and procedures accordingly.

Summary

Senate Bill 227, entitled 'Health Insurance – Cancellation of Individual Health Benefit Plans – Restriction', aims to enhance protection for policyholders by prohibiting health insurance carriers from canceling individual health benefit plans under certain circumstances. Specifically, the bill stipulates that if a policyholder pays less than the net monthly premium due, they cannot face cancellation if the deficiency is $10 or less, and they pay the remaining amount within a designated time after a notification from the carrier. This provision seeks to ensure that minor lapses in payment do not lead to the loss of health insurance coverage for individuals who may be financially struggling.

Contention

The conversation surrounding SB227 has revealed notable points of contention among stakeholders. Supporters of the bill argue that it is a necessary reform to protect vulnerable individuals who may inadvertently fall behind on premium payments, thereby risking their health coverage. They view the bill as a safeguard that promotes stability within the health insurance market by reducing the likelihood of individuals becoming uninsured due to minor financial setbacks. Conversely, opponents raise concerns about the potential for increased costs for insurers, which may ultimately lead to higher premiums for all policyholders. They argue that while the intent is noble, the bill could create unintended financial burdens on the insurance industry.

Further_details

The provisions within SB227 include specific definitions regarding what constitutes net monthly premiums and outline processes for notification when premiums are deficient. This bill is part of an ongoing effort to reform health insurance practices in Maryland, aiming to strike a balance between consumer protection and the financial viability of insurance providers. As the health care landscape continues to evolve, legislation like SB227 is crucial in addressing the challenges faced by both insurers and insured individuals.

Companion Bills

MD HB240

Crossfiled Health Insurance - Cancellation of Individual Health Benefit Plans - Restriction

Previously Filed As

MD HB604

Health Insurance - Health Benefit Plans Issued Through Professional Employer Organizations - Exemption

MD SB500

Health Insurance – Health Benefit Plans Issued Through Professional Employer Organizations – Exemption

MD SB601

Maryland Health Benefit Exchange - State-Based Young Adult Health Insurance Subsidies Pilot Program - Sunset Extension

MD HB814

Maryland Health Benefit Exchange - State-Based Young Adult Health Insurance Subsidies Pilot Program - Sunset Extension

MD SB725

Insurance - Product and Service Offerings

MD HB374

Health Insurance – Pharmacy Benefits Managers – Audits of Pharmacies and Pharmacists

MD SB565

Health Insurance - Pharmacy Benefits Managers - Audits of Pharmacies and Pharmacists

MD SB365

Health Insurance - Qualified Resident Enrollment Program (Access to Care Act)

MD HB25

Public Health - Healthy Maryland Program - Establishment

MD HB588

Health Insurance - Qualified Resident Enrollment Program (Access to Care Act)

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