# MD Insurance Bulletin 00-09: Contract Filings 00-9

> Maryland · Agency guidance · In force

URL: https://www.frixlaw.com/law-library/statutes/MD_INS_B_00-09

## Section

- **Citation:** MD Insurance Bulletin 00-09
- **Heading:** Contract Filings 00-9
- **Jurisdiction:** Maryland
- **Kind:** Agency guidance
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Maryland Insurance Administration Bulletins / Contract Filings 00-9

## Text

Bulletin
DATE:
March 8, 2000
TO:
Small Group Health Maintenance Organizations
RE:
Contract Filings
Bulletin No: Life and Health 00-9
We would like to bring to your attention revisions that will be required of the small group
contracts issued or renewed on or after July 1, 2000. These revisions were published in the
Maryland Register on October 22, 1999. Notice of Final Action was published in the Maryland
Register on January 28, 2000.
We recommend that these changes be made through an amendment rider which will be
attached to the group policy and certificate. Please specify the form number and date of approval
of the policy to which the amendment rider will be attached. To ensure approval by July 1,
2000, the filings must be received by this Administration by May 1, 2000.
Revisions Required By COMAR 31.11.06
♦ New benefit for annual chlamydia screening test. See COMAR 31.11.06.03A(33).
♦ Prescription Drug Benefit

 New requirement for Carriers to cover drugs through an open formulary, consisting of
generic, preferred brand-name, and non-preferred brand-name drugs. See COMAR
31.11.06.03E(2).

 New three tier copayments for prescription drugs:
1. $15 for generic drugs;
2. $20 for preferred brand-name drugs; or
3. $30 for non-preferred brand-name drugs.
See COMAR 31.11.06.05H(3).

 Revised cost sharing for up to a 90-day supply of maintenance drugs dispensed in a
single dispensing of a prescription:
1. For generic maintenance drugs, one $30 copayment;
2. For preferred brand-name maintenance drugs, one $40 copayment; and
3. For non-preferred brand-name maintenance drugs, one $60 copayment.
See COMAR 31.11.06.05H(5).
non-preferred brand-name drugs.
See COMAR 31.11.06.05H(3).

 Revised cost sharing for up to a 90-day supply of maintenance drugs dispensed in a
single dispensing of a prescription:
1. For generic maintenance drugs, one $30 copayment;
2. For preferred brand-name maintenance drugs, one $40 copayment; and
3. For non-preferred brand-name maintenance drugs, one $60 copayment.
See COMAR 31.11.06.05H(5).

March 8, 2000
Page 2

 Deleted the prohibition against a carrier reimbursing a health care practitioner in an
amount that is less than the cost to the practitioner for oncology drugs used in treating a
patient in the practitioner’s office. See COMAR 31.11.06.03E(3).
♦ Smoking Cessation Exclusion

 Modified Exclusion #39 to delete smoking cessation. Added new Exclusion #52 for
services related to smoking cessation. See COMAR 31.11.06.06B(39) and (52).
We are enclosing copies of the changes to the small group regulations published October 22,
1999. Please note that the above summary does not include all changes to the regulations; it
details only the changes which are required by July 1, 2000. Changes that were required by
November 1, 1999 were detailed in Bulletin 99-18.
Please contact Ellen Woodall, Supervisor, Managed Care Unit at (410) 468-2226 if you have
any questions regarding these filings.
____________________________________
Donna B. Imhoff
Associate Commissioner

## Nearby sections

- [MD Insurance Bulletin 00-01 Offer of Standard Plan and Additional Benefits](https://www.frixlaw.com/law-library/statutes/MD_INS_B_00-01.md)
- [MD Insurance Bulletin 00-02 Risk Based Capital Reporting Requirement](https://www.frixlaw.com/law-library/statutes/MD_INS_B_00-02.md)
- [MD Insurance Bulletin 00-03 Revision to Regulation--Limitation on Implementing Rate Increases](https://www.frixlaw.com/law-library/statutes/MD_INS_B_00-03.md)
- [MD Insurance Bulletin 00-04 Rescission of MIA position as stated in Wickenden Letter](https://www.frixlaw.com/law-library/statutes/MD_INS_B_00-04.md)
- [MD Insurance Bulletin 00-06 Revised Procedures for the Calculation of Filing Fees for Form Filings](https://www.frixlaw.com/law-library/statutes/MD_INS_B_00-06.md)
- [MD Insurance Bulletin 00-07 Life, Accident and Health Insurers Required Filings Checklist](https://www.frixlaw.com/law-library/statutes/MD_INS_B_00-07.md)
- [MD Insurance Bulletin 00-09 Contract Filings 00-9](https://www.frixlaw.com/law-library/statutes/MD_INS_B_00-09.md)
- [MD Insurance Bulletin 00-10 Estimated Premium Tax Filing](https://www.frixlaw.com/law-library/statutes/MD_INS_B_00-10.md)
- [MD Insurance Bulletin 00-11 Utilization Review Criteria & Standards Disclosure to Providers](https://www.frixlaw.com/law-library/statutes/MD_INS_B_00-11.md)
- [MD Insurance Bulletin 00-12 Revised Definition of Small Employer](https://www.frixlaw.com/law-library/statutes/MD_INS_B_00-12.md)
- [MD Insurance Bulletin 00-12-B Small Employer Groups: Revised Rules for Eligibility and Group Size](https://www.frixlaw.com/law-library/statutes/MD_INS_B_00-12-B.md)
- [MD Insurance Bulletin 00-13 Regulation of DownStream Risk](https://www.frixlaw.com/law-library/statutes/MD_INS_B_00-13.md)
- [MD Insurance Bulletin 00-14 Reduction of Benefits for Medicare Eligible Employees](https://www.frixlaw.com/law-library/statutes/MD_INS_B_00-14.md)
- [MD Insurance Bulletin 00-16 NAIC Codification of Statutory Accounting Principles](https://www.frixlaw.com/law-library/statutes/MD_INS_B_00-16.md)

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/MD_INS_B_00-09. Check the current official text before relying on it. Not legal advice.