Section 19-729 - Prohibited acts; remedies. - Maryland Statutes

§ 19-729. Prohibited acts; remedies.
 

(a)  Prohibited acts.- 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)  Remedies.- 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. 
 

[An. Code 1957, art. 43, § 850; 1982, ch. 21, § 2; 1986, ch. 816; 1993, ch. 9, § 2; 1997, ch. 70, § 4; 1998, ch. 111, § 2; ch. 112, § 2; chs. 605, 606; 1999, chs. 71, 697; 2001, ch. 53.]