Section 15-1005 

Annotated Code of Maryland

(1997 Volume and 1998 Supplement)

BY repealing and reenacting, with amendments,
Article - Health - General
Section 15-102.3(b)
Annotated Code of Maryland
(1994 Replacement Volume and 1998 Supplement)

BY adding to 

Article - Health - General
Section 19-706(ff)
Annotated Code of Maryland

(1996 Replacement Volume and 1998 Supplement)

BY repealing

Article - Health - General
Section 19-712.1
Annotated Code of Maryland

(1996 Replacement Volume and 1998 Supplement)

SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:

Article - Insurance

15-1005.

(a) This section does not apply when there is a good faith dispute about the
legitimacy of a claim or the appropriate amount of reimbursement.

(b) To the extent consistent with the Employee Retirement Income Security
Act of 1974 (ERISA), 29 U.S.C. 1001, et seq., this section applies to an insurer [or],
nonprofit health service plan, OR HEALTH MAINTENANCE ORGANIZATION that acts as
a third party administrator.

(c) AN INSURER, NONPROFIT SERVICE PLAN, OR HEALTH MAINTENANCE
ORGANIZATION:

(1) [Within] WITHIN 30 days after receipt of a claim for reimbursement
from a person entitled to reimbursement under § 15-701(a) of this title or from a
hospital or related institution, as those terms are defined in § 19-301 of the Health -
General Article,[ an insurer or, nonprofit health service plan, OR HEALTH
MAINTENANCE ORGANIZATION] shall [:

(1)] pay the claim in accordance with this section; or