Code of Maryland Regulations › Title 14 - INDEPENDENT AGENCIES › Subtitle 35 - MARYLAND HEALTH BENEFIT EXCHANGE › Chapter 14.35.13 - Application Counselor Training and Certification Standards › Section 14.35.13.05 - Application Procedures

Current through Register Vol. 51, No. 14, July 12, 2024
A. In
				order to obtain an application counselor certification, 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 to information that
				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 to whom the applicant provides
				services;
(4) An attestation that
				the applicant will disclose to the Maryland Health Benefit Exchange, the
				application counselor sponsoring entity, and individuals to whom the applicant
				provides services any relationships the applicant has with a carrier, an
				insurance producer, a third-party administrator, or a managed care organization
				that participates in the Maryland Medical Assistance Program/Maryland
				Children's Health Program, as well as other potential conflicts of
				interest;
(5) An attestation that
				the applicant will act in the best interest of the individuals for whom the
				applicant is authorized to provide services;
(6) An attestation that the applicant will
				not receive compensation from a carrier, insurance producer, managed care
				organization or third-party administrator for application counselor
				services;
(7) An attestation that
				the applicant will not receive compensation from the Maryland Health Benefit
				Exchange; (8) An attestation that the applicant will accept compensation for
				application counselor-related duties only from its application counselor
				sponsoring entity, as approved by the Maryland Health Benefit Exchange in
				consultation with the Commissioner and the Department of Health and Mental
				Hygiene;
(8) An attestation that
				the applicant will not 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 comply with the oversight plan adopted by its application
				counselor sponsoring entity approved by the Maryland Health Benefit Exchange,
				in consultation with the Commissioner and the Department of Health and Mental
				Hygiene;
(10) An attestation that
				the applicant will comply with all State requirements, restrictions, and
				conflict of interest rules applicable to Individual Exchange
				navigators;
(11) An attestation
				that the applicant will comply with the required agreement set forth under
				Regulation .03A(5) of this chapter;
(12) An attestation that the applicant will
				comply with all applicable federal and State privacy and security
				standards;
(13) An attestation that
				the applicant will operate within the applicant's scope of authority and ensure
				that he or she complies with the requirements set forth under Regulation .04 of
				this chapter;
(14) An attestation
				that the applicant will comply with any applicable requirements of the
				Department of Health and Mental Hygiene and the Commissioner;
(15) An application fee if permitted by law
				and in the manner specified by the Maryland Health Benefit Exchange;
				and
(16) Evidence that the
				applicant has successfully completed the Maryland Health Benefit Exchange
				application counselor certification training program specified under COMAR
				14.35.02.04A and
				passed the examination specified under COMAR
				14.35.02.04D.