2016 Maryland Code
Insurance
Title 15 - Health Insurance
Subtitle 10 - Claims and Utilization Review
§ 15-1006. Notice of reason for denial of claim

MD Ins Code § 15-1006 (2016) What's This?

(a) Required. -- On written request of the claimant, an insurer that denies a claim made on an individual health insurance policy shall give written notice to the claimant that states fully the reason for the denial.

(b) Effect of stated reason. -- The reason given by an insurer for denial of a claim shall not act as an estoppel or limit the insurer from offering an additional reason for the denial.

(c) Notice subject to federal Health Insurance Portability and Accountability Act. -- The notice given by an insurer under this section is subject to 45 C.F.R. ยง 164.522(b).

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