Ch. 35

1997 LAWS OF MARYLAND

made "under this paragraph" to nonpreferred providers is deleted as
surplusage.

Also in subsection (b)(2) of this section, the former phrase "pursuant to the
providers' agreements to provide the services" is deleted as surplusage.

In the introductory language of subsection (c)(1) of this section, the reference
to an "insurer" is substituted for the former reference to a "nonprofit health
service plan" for accuracy and consistency with subsection (c)(2) of this
section.

Subsection (c)(1)(ii) of this section is revised to clarify that it applies to acts,
methods of competition, or practices engaged in by insurers.

Defined terms: "Commissioner" § 1-101
"Insured" § 14-201
"Insurer" § 1-101
"Nonpreferred provider" § 14-201
"Preferred provider" § 14-201
"Preferred provider insurance policy" § 14-201
"Provider" § 14-201
"Provider service contract" § 14-201

14-206. FILINGS WITH COMMISSIONER.

(A) APPLICATION TO EMPLOYEE BENEFIT PLANS.

THIS SECTION APPLIES TO AN EMPLOYEE BENEFIT PLAN WHOSE BENEFIT
PROVISIONS ARE GOVERNED BY THE EMPLOYEE RETIREMENT INCOME SECURITY
ACT OF 1974 (ERISA) OR ANOTHER FEDERAL LAW.

(B) REQUIRED FILINGS.

ON REQUEST OF THE COMMISSIONER, EACH INSURER, EMPLOYER, THIRD
PARTY ADMINISTRATOR, OR OTHER ENTITY THAT ISSUES, DELIVERS, ADMINISTERS,
OR OFFERS A PREFERRED PROVIDER INSURANCE POLICY IN THE STATE SHALL FILE
WITH THE COMMISSIONER:

(1) A WRITTEN SUMMARY DESCRIPTION AND A PROTOTYPE COPY OF:

(I) THE PREFERRED PROVIDER INSURANCE POLICY;

(II) ALL ATTENDANT PROVIDER SERVICE CONTRACTS;

(III) ANY OTHER RELATED CONTRACTS; AND

(IV) ANY AMENDMENTS TO THE DOCUMENTS LISTED IN ITEMS (I)
THROUGH (III) OF THIS PARAGRAPH; AND

(2) ANY OTHER RELATED DOCUMENTS OR INFORMATION THAT THE
COMMISSIONER REQUIRES.

(C) PENALTY.

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