"The TTCA is still moving forward, but no contributions or payroll deductions are required until January 1, 2027. No employee benefits will be available until January 2028.... [F]orthcoming final COMAR regulations ... will clarify private plan standards, contribution mechanics, claims handling, and employer responsibilities. Early preparation, especially around systems, payroll, benefits integration, determining covered employees for contribution purposes, and employee communications, will make the transition smoother."  MORE >>