§ 19-729. Prohibited acts; remedies

MD Health-Gen Code § 19-729 (2019) (N/A)
Copy with citation
Copy as parenthetical citation

(a)    A health maintenance organization may not:

(1)    Violate any provision of this subtitle or any rule or regulation adopted under it;

(2)    Fail to fulfill its obligations to provide the health care services specified in its contracts with subscribers;

(3)    Make any false statement with respect to any report or statement required by this subtitle or by the Commissioner under this subtitle;

(4)    Advertise, merchandise, or attempt to merchandise its services in a way that misrepresents its services or capacity for service;

(5)    Engage in a deceptive, misleading, unfair, or unauthorized practice as to advertising or merchandising;

(6)    Prevent or attempt to prevent the Commissioner or the Department from performing any duty imposed by this subtitle;

(7)    Fraudulently obtain or fraudulently attempt to obtain any benefit under this subtitle;

(8)    Fail to fulfill the basic requirements to operate as a health maintenance organization as provided in § 19-710 of this subtitle;

(9)    Violate any applicable provision of Title 15, Subtitle 12 of the Insurance Article;

(10)    Fail to provide services to a member in a timely manner as provided in § 19-705.1(b)(1) of this subtitle;

(11)    Fail to comply with the provisions of Title 15, Subtitle 10A, 10B, 10C, or 10D or § 2-112.2 of the Insurance Article; or

(12)    Violate any provision of § 19-712.5 of this subtitle.

(b)    If any health maintenance organization violates this section, the Commissioner may pursue any one or more of the courses of action described in § 19-730 of this subtitle.