Governor Larry Hogan and the Maryland General Assembly approved legislation to create a reinsurance program for the individual health insurance market beginning in 2019. The state plans to raise about $365 million through a 2.75% premium surcharge on insurance carriers. Maryland may receive additional “pass through” dollars from the federal government. Total funding for the program is projected at $462 million. If approved, the reinsurance program will hold down premium increases for plans purchased in the individual health insurance market both on and off Maryland Health Connection, the state-based marketplace.

Maryland’s draft of its 1332 State Innovation Waiver Application for a State Reinsurance Program can be viewed at

Four public hearings will be held on:

  • Thursday, April 26, 5 p.m. to 6 p.m., at the Talbot County Department of Parks and Recreation (Chesapeake Room), 10028 Ocean Gateway, Easton, MD 21601
  • Thursday, May 3, 4 p.m. to 5 p.m., at the office of the Maryland Health Benefit Exchange, 750 E. Pratt St., 6th Floor, Baltimore, MD 21205
  • Monday, May 7, 3 p.m. to 4 p.m., at the Frederick County Local Health Department, 350 Montevue Lane, Frederick, MD 21702
  • Thursday, May 10, 5 p.m. to 7 p.m., at the Charles County Local Health Department, 4545 Crain Highway, White Plains, MD 20695


Last modified: April 20, 2018