Maryland Code, Labor and Employment § 9-403

(a) An employer who wishes to self-insure under § 9-402(a)(4) of this subtitle and a governmental self-insurance group that wishes to establish joint self-insurance coverage under § 9-402(a)(2) of this subtitle shall get the approval of the Commission for the self-insurance plan of the employer or governmental self-insurance group.

(b) To get the approval of the Commission for a self-insurance plan, an employer or a governmental self-insurance group shall apply to the Commission.

(c) The Commission may approve or deny the use of a self-insurance plan by an employer or a governmental self-insurance group.

(d) If the Commission denies the use of a self-insurance plan by an employer or governmental self-insurance group, the employer or governmental self-insurance group may apply to the Commission for approval to use another self-insurance plan.

(e) The Commission may revoke or modify its approval for use of a self-insurance plan if the Commission determines that revoking or modifying approval is reasonably necessary: