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HARRY HUGHES, Governor
3079
(4) A DESCRIPTION OF THE ENROLLEE COMPLAINT SYSTEM
INCLUDING THE PROCEDURES OF THE COMPLAINT SYSTEM, THE NUMBER OF
WRITTEN COMPLAINTS HANDLED THROUGH THE SYSTEM, A SUMMARY OF
CAUSES UNDERLYING THE COMPLAINTS FILED, AND THE NUMBER, AMOUNT,
AND DISPOSITION OF MALPRACTICE CLAIMS SETTLED DURING THE YEAR BY
THE DENTAL PLAN ORGANIZATION AND ANY OF THE DENTISTS USED BY IT;
AND
(5) ANY OTHER INFORMATION RELATING TO THE PERFORMANCE
OF THE DENTAL PLAN ORGANIZATION AS REQUIRED BY THE COMMISSIONER.
591.
A DENTAL PLAN ORGANIZATION MAY NOT USE MORE THAN 50 PERCENT
OF ITS GROSS CONTRACT AND CERTIFICATE INCOME IN ANY FISCAL YEAR
FOR GENERAL OPERATING EXPENSES, ACQUISITION EXPENSES, AND
MISCELLANEOUS TAXES, LICENSES, AND FEES.
592.
(A) A DENTAL PLAN ORGANIZATION, OR ITS REPRESENTATIVES, MAY
NOT CAUSE OR KNOWINGLY PERMIT THE USE OF ADVERTISING WHICH IS
UNTRUE OR MISLEADING, SOLICITATION WHICH IS UNTRUE OR MISLEADING,
OR ANY FORM OF EVIDENCE OF COVERAGE WHICH IS DECEPTIVE.
(B) A DENTAL PLAN ORGANIZATION, UNLESS LICENSED AS AN
INSURER, MAY NOT USE IN ITS NAME, EVIDENCE OF COVERAGE, OR
LITERATURE, ANY OF THE WORDS "INSURANCE", "ASSURANCE",
"CASUALTY", "SURETY", "MUTUAL", OR ANY OTHER WORDS DESCRIPTIVE OF
THE INSURANCE, CASUALTY OR SURETY BUSINESS, OR DECEPTIVELY
SIMILAR TO THE NAME OR DESCRIPTION OF ANY INSURER LICENSED TO DO
BUSINESS IN THIS STATE.
(C) THE COMMISSIONER SHALL ENFORCE THE PROVISIONS OF THIS
SECTION.
(D) THIS SUBTITLE DOES NOT LIMIT THE POWERS OF THE ATTORNEY
GENERAL AND THE PROCEDURES WITH RESPECT TO CONSUMER FRAUD.
593.
(A) THE COMMISSIONER MAY SUSPEND OR REVOKE ANY CERTIFICATE
OF AUTHORITY ISSUED TO A DENTAL PLAN ORGANIZATION UNDER THIS
SUBTITLE IF THE COMMISSIONER FINDS THAT ANY OF THE FOLLOWING
CONDITIONS EXISTS:
(1) THE DENTAL* PLAN ORGANIZATION IS OPERATING IN A
MANNER SIGNIFICANTLY CONTRARY TO THAT DESCRIBED IN §§ 583 AND 585
OF THIS SUBTITLE;
(2) THE DENTAL PLAN ORGANIZATION ISSUES AN EVIDENCE
OF COVERAGE THAT DOES NOT COMPLY WITH THE REQUIREMENTS OF § 587
OF THIS SUBTITLE;
(3) THE DENTAL PLAN ORGANIZATION CAN NO LONGER BE
EXPECTED TO MEET ITS OBLIGATIONS TO ITS ENROLLEES;
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