MD SB760

Exempts health benefit plans issued through professional employer organizations (PEOs) from Maryland's small employer health insurance requirements, including the mandate that carriers offering small group plans must also participate in the SHOP Exchange

Defines "professional employer organization" as a business entity that contracts with another business to share employer responsibilities for at least half of the client's worksite employees

Excludes temporary staffing agencies from the PEO definition—specifically entities that recruit their own employees and assign them to clients on a temporary basis for absences, skill shortages, or seasonal workloads

Removes PEO-issued health plans from the definition of "health benefit plan" under small employer regulations, treating welfare benefit plans offered through PEOs as single employer plans rather than small group plans

Takes effect January 1, 2026, applying to all policies, contracts, and health benefit plans issued, delivered, or renewed on or after that date