Bulletin 26-21: Exemption from Participation in the Maryland Health Benefit Exchange in 2027

This bulletin, dated September 2, 2026, is addressed to Insurers, Nonprofit Health Service Plans, and Health Maintenance Organizations Offering Health Benefit Plans in the Small Employer or Individual Markets in Maryland. It provides guidance on exemption from participation in the Maryland Health Benefit Exchange in 2027. Exemption requests based on the aggregate annual premium are due on or before December 15, 2026. Exemption requests based on student health plans being the only individual health benefit plans offered by the carrier are due on or before February 1, 2027. Questions about this Bulletin may be directed to the Life/Health Section of the Maryland Insurance Administration. The bulletin outlines the criteria and process for carriers seeking exemption from the Maryland Health Benefit Exchange, including documentation requirements and submission deadlines for the 2027 plan year.