Maryland Insurance Section 15-10A-07

Article - Insurance

§ 15-10A-07.

      On a quarterly basis, the Health Advocacy Unit shall submit a report to the Commissioner that:

            (1)      describes activities it performed on behalf of members that have participated in an internal grievance process of a carrier established under this subtitle;

            (2)      describes its efforts to mediate cases that involve an adverse decision;

            (3)      names each carrier involved in the cases described in the report;

            (4)      states the number and outcome of each grievance considered an emergency case under § 15-10A-02(b)(2)(i) of this subtitle described in the report, including the time within which the carrier made a grievance decision on each emergency case; and

            (5)      states the number and outcome of each case described in the report that was not considered an emergency case, including the time within which the carrier made a grievance decision on the case.



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