Maryland Health - General Section 19-729

Article - Health - General

§ 19-729.

      (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.



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