EXCHANGE ENTITY definition
EXCHANGE ENTITY. By: Name: Title: Date: By: Name: Title: Date:
EXCHANGE ENTITY. By: Name: Title: Date: By: Name: Title: Date: Form Non-Exchange Entity Agreement approved by an Assistant Attorney General as to form and legal sufficiency on March 1, 2019; signature on file with MHBE. EXHIBIT 1 Date Reported to MHBE: This notification is made pursuant to the Non-Exchange Entity Agreement between the MARYLAND HEALTH BENEFIT EXCHANGE, a public corporation and independent unit of State government (“MHBE”) and (“Insert Non-Exchange Entity name”). Non-Exchange Entity hereby notifies MHBE that there has been an actual or potential breach of unsecured personally identifiable information (“PII”) that Non-Exchange Entity has used or has had access to under the terms of the Non-Exchange Entity Agreement. Please provide as much detail as possible.
EXCHANGE ENTITY. By: Name: Title: Date: By: Name: Title: Date: Approved as to form and legal sufficiency this day of , 2020. By: Assistant Attorney General Maryland Health Benefit Exchange Form: 06.16.20