Maryland Code, Insurance § 15-915

(1) require rate adjustments, credits, or refunds if the Medicare supplement policies or certificates do not meet loss ratio requirements;

(2) establish a uniform methodology for calculating and reporting loss ratios;

(3) ensure public access to policies, premiums, and loss ratio information of carriers of Medicare supplement insurance;

(4) establish a process for approving or disapproving policy forms and certificate forms; and

(5) establish a policy for holding public hearings before approval of premium increases and a process for approving or disapproving proposed schedules of premium changes.