Md. Code Regs. 14.35.11.03 - Opportunity for a Fair Hearing

A. An opportunity for a fair hearing shall be granted if an applicant claims that:
(1) The determination or redetermination received from the Exchange of the applicant's eligibility for enrollment in a qualified health plan is incorrect;
(2) The determination or redetermination received from the Exchange of the applicant's eligibility for an insurance affordability program is incorrect; or
(3) The determination or redetermination received from the Exchange of the applicant's eligibility for enrollment in a qualified health plan or an insurance affordability program is untimely as set forth in applicable law.
B. The administrative law judge need not grant a fair hearing if the sole issue is a federal or State law requiring an automatic change adversely affecting some or all applicants.

Notes

Md. Code Regs. 14.35.11.03
Regulation .03 adopted effective 42:11 Md. R. 726, eff.6/8/2015

State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.