PARRIS N. GLENDENING, Governor                                   Ch. 36

10-125. SAME — EMPLOYEES OF HEALTH MAINTENANCE ORGANIZATIONS.

(A)     IN GENERAL.

WITHOUT REGARD TO THE EDUCATION, EXPERIENCE, OR EXAMINATION
REQUIREMENTS OF THIS SUBTITLE, THE COMMISSIONER MAY ISSUE A SPECIAL
RESTRICTED CERTIFICATE OF QUALIFICATION TO AN INDIVIDUAL WHO IS
EMPLOYED BY A HEALTH MAINTENANCE ORGANIZATION SOLELY TO SOLICIT
MEMBERSHIP IN THE HEALTH MAINTENANCE ORGANIZATION UNDER A CONTRACT:

(1)      BETWEEN THE HEALTH MAINTENANCE ORGANIZATION AND THE
DEPARTMENT OF HEALTH AND MENTAL HYGIENE; AND

(2)      IN ACCORDANCE WITH WHICH THE DEPARTMENT OF HEALTH AND
MENTAL HYGIENE OBTAINS PREPAID COMPREHENSIVE HEALTH CARE SERVICES
FOR RECIPIENTS OF MEDICAL ASSISTANCE UNDER § 15-105 OF THE HEALTH -
GENERAL ARTICLE.

(B)     LICENSE FEE.

THE ANNUAL LICENSE FEE IS PROVIDED IN § 2-112 OF THIS ARTICLE.

REVISOR'S NOTE: This section is new language derived without substantive
change from former Art. 48A, § 173(d).

Defined terms: "Certificate of qualification" § 10-101
"Commissioner" § 1-101

10-126. DENIALS, REFUSALS TO RENEW, SUSPENSIONS, AND REVOCATIONS:
PENALTIES.

(A) GROUNDS.

SUBJECT TO THE HEARING PROVISIONS OF TITLE 2 OF THIS ARTICLE, THE
COMMISSIONER MAY DENY A CERTIFICATE OF QUALIFICATION TO AN APPLICANT
OR SUSPEND, REVOKE, OR REFUSE TO RENEW A CERTIFICATE OF QUALIFICATION IF
THE APPLICANT OR HOLDER OF THE CERTIFICATE OF QUALIFICATION:

(1)      HAS WILLFULLY VIOLATED THIS ARTICLE OR ANOTHER LAW OF
THE STATE THAT RELATES TO INSURANCE;

(2)      HAS INTENTIONALLY MISREPRESENTED OR CONCEALED A
MATERIAL FACT IN THE APPLICATION FOR A CERTIFICATE OF QUALIFICATION;

(3)      HAS OBTAINED OR ATTEMPTED TO OBTAIN A CERTIFICATE OF
QUALIFICATION BY MISREPRESENTATION, CONCEALMENT, OR OTHER FRAUD:

(4)      HAS MISAPPROPRIATED, CONVERTED, OR UNLAWFULLY WITHHELD
MONEY BELONGING TO AN INSURER, AGENT, BROKER, BENEFICIARY, OR INSURED:

(5)      HAS WILLFULLY AND MATERIALLY MISREPRESENTED THE
PROVISIONS OF A POLICY;

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