Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.12 - Application Counselor Sponsoring Entity Designation Standards › Section 14.35.12.05 - Application Procedures

Current through Register Vol. 51, No. 14, July 12, 2024
A. In
				order to obtain an application counselor sponsoring entity designation, the
				applicant shall submit to the Maryland Health Benefit Exchange:
(1) An application on the form approved by
				the Maryland Health Benefit Exchange in consultation with the Commissioner and
				the Department of Health and Mental Hygiene;
(2) An attestation that the applicant will
				notify the Maryland Health Benefit Exchange of any changes in information the
				applicant provides or to which the applicant attests on the application form
				within 30 days of such change;
(3)
				An attestation that the applicant will not impose a fee on individuals for
				services provided by certified application counselors employed or engaged by
				the applicant;
(4) An attestation
				that the applicant will disclose to the Maryland Health Benefit Exchange and to
				individuals to whom certified application counselors employed or engaged by the
				applicant provide services any relationships it has with a carrier, an
				insurance producer, or a third-party administrator or a managed care
				organization that participates in the Maryland Medical Assistance
				Program/Maryland Children's Health Program;
(5) An attestation that the applicant will
				act in the best interest of the individuals for whom the certified application
				counselors employed or engaged by the applicant are authorized to provided
				services;
(6) An attestation that
				the applicant will not receive compensation from a carrier, insurance producer,
				managed care organization, or a third-party administrator for application
				counselor services provided by certified application counselors employed or
				engaged by the applicant;
(7) An
				attestation that the applicant will compensate employed or engaged certified
				application counselors in the manner approved by the Maryland Health Benefit
				Exchange working in consultation with the Commissioner and the Department of
				Health and Mental Hygiene;
(8) An
				attestation that the applicant will not directly or through employed or engaged
				certified application counselors provide monetary or other financial incentives
				to individuals to apply for health insurance coverage through Maryland Health
				Connection;
(9) An attestation that
				the applicant will not receive compensation from the Maryland Health Benefit
				Exchange for certified application counselor services;
(10) An attestation that the applicant will
				monitor the performance of its certified application counselors in accordance
				with the requirements set forth by the Maryland Health Benefit
				Exchange;
(11) An attestation that
				the applicant will enforce the required agreement set forth under Regulation
				.03D of this chapter;
(12) An
				attestation that the applicant will oversee employed or engaged certified
				application counselors pursuant to the oversight plan approved by the Maryland
				Health Benefit Exchange, in consultation with the Commissioner and the
				Department of Health and Mental Hygiene;
(13) An attestation that the applicant will
				comply with all applicable federal and State privacy and security standards,
				and will ensure that its certified application counselors also comply with
				these standards;
(14) An
				attestation that the applicant will operate within its scope of authority and
				ensure that it and its certified application counselors comply with the
				requirements set forth under Regulation .04 of this chapter;
(15) An attestation that the applicant will
				comply with any applicable requirements of Department of Health and Mental
				Hygiene and the Commissioner; and
(16) An application fee to the extent
				permitted by law and in the manner specified by the Maryland Health Benefit
				Exchange, if applicable.