Origin Stories
The Marketplace (Maryland Health Connection)
Helping Hands
The 2026 Landscape
"Special" Circumstances
100

This landmark 2010 federal law required states to either set up their own health insurance marketplace or use the federal one.

What is the Patient Protection and Affordable Care Act (ACA)?

100

These are the three primary "metal levels" of private health plans offered on the exchange, named after precious materials.

What are Bronze, Silver, and Gold?

100

These trained individuals provide free, in-person assistance to help residents determine eligibility and choose plans.

What are Navigators?

100

In 2026, Maryland enrollment actually grew by 3.4% despite the expiration of these federal financial boosts.

What are the Enhanced Premium Tax Credits?

100

If you get married, lose your job, or have a baby, you may qualify for this period to enroll outside of the standard dates.

What is a Special Enrollment Period (SEP)?

200

On April 12, 2011, this Maryland Governor signed the act that officially established the MHBE as a public corporation.

Who is Martin O’Malley?

200

This is the name of the official mobile app used by Marylanders to enroll in coverage and upload documents.

What is "Enroll MHC"?

200

This unique Maryland program allows residents to check a box on their state tax return to see if they qualify for low-cost insurance.

What is the Maryland Easy Enrollment Health Insurance Program?

200

In response to federal inaction, Governor Wes Moore and the General Assembly expanded this state-level program to lower premiums for 2026.

What is the Maryland Premium Assistance Program?

200

In 2020, Maryland had the longest Special Enrollment Period in the country to help residents during this global crisis.

What was the COVID-19 pandemic?

300

Maryland’s "no wrong door" marketplace, which officially opened for enrollment on this date in 2013.

What is October 1, 2013?

300

Since April 2014, small business owners have been able to enroll their employees through this specific program.

What is SHOP (Small Business Health Options Program)?

300

This individual has served as the Executive Director of the MHBE since 2017.

Who is Michele Eberle?

300

Enrollment for this specific age group (18–37) grew by 7% in 2026, thanks in part to state-specific subsidies.

Who are Young Adults?

300

This is the specific income threshold (expressed as a percentage of the Federal Poverty Level) above which Marylanders generally lose eligibility for state premium assistance in 2026.

What is 400%?

400

This 2013 Maryland Act was the final step in the three-year effort to expand Medicaid and conform state law to federal consumer protections.

What is the Maryland Health Progress Act?

400

While private plans have a set Open Enrollment period, Marylanders can apply for this public health program at any time of the year.

What is Medicaid (or MCHP)?

400

The MHBE is governed by a Board of Trustees consisting of this many members.

What is nine?

400

Because of rising costs in 2026, over 5,000 Marylanders engaged in this practice, moving from Gold plans to Bronze plans to save on premiums.

What is "buying down"?

400

In 2026, roughly 18,000 people in this specific residency category lost eligibility for federal tax credits but remained a focus for state outreach.

Who are lawfully present immigrants?

500

Unlike many state agencies, the MHBE is technically classified as this type of entity, giving it independence within the state government.

What is a public corporation?

500

To ensure "network adequacy," insurers in Maryland submit provider data to this statewide health information exchange.

What is CRISP (Chesapeake Regional Information System for our Patients)?

500

This state official currently serves as the Chair of the MHBE Board of Trustees as of 2026.

Who is Dr. Meena Seshamani (Secretary of Health)?

500

As of 2026, the state subsidy program replaces this percentage of lost federal subsidies for those under 200% of the Federal Poverty Level.

What is 100%?

500

Individuals who file for this specific state benefit through the Department of Labor may also trigger a Special Enrollment Period for health coverage.

What is Unemployment Insurance?