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Session Laws, 1999
Volume 796, Page 3806   View pdf image
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(1) Violate any provision of this subtitle or any rule or regulation
adopted under it;

(2) Fail to fulfill its obligations to provide the health care services
specified in its contracts with subscribers;

(3) Make any false statement with respect to any report or statement
required by this subtitle or by the Commissioner under this subtitle;

(4) Advertise, merchandise, or attempt to merchandise its services in a
way that misrepresents its services or capacity for service;

(5) Engage in a deceptive, misleading, unfair, or unauthorized practice
as to advertising or merchandising;

(6) Prevent or attempt to prevent the Commissioner or the Department
from performing any duty imposed by this subtitle;

(7) Fraudulently obtain or fraudulently attempt to obtain any benefit
under this subtitle;

(8) Fail to fulfill the basic requirements to operate as a health
maintenance organization as provided in § 19-710 of this subtitle;

(9) Violate any applicable provision of Title 15, Subtitle 12 of the
Insurance Article;

(10) Fail to provide services to a member in a timely manner as provided
in § 19-705.1(b)(1) of this subtitle;

(11) Fail to comply with the provisions of Title 15, Subtitle 10A, 10B, or
10C or § 2-112.2 of the Insurance Article; or

(12) Violate any provision of § 19-712.5 of this subtitle.

(b) If any health maintenance organization violates this section, the
Commissioner may pursue any one or more of the courses of action described in §
19-730 of this subtitle.

19-730.

(A) If any person violates any provision of § 19-729 of this subtitle, the
Commissioner may:

(1) Issue an administrative order that requires the health maintenance
organization to:

(i) Cease inappropriate conduct or practices by it or any of the
personnel employed or associated with it;

(ii) Fulfill its contractual obligations;

(iii) Provide a service that has been denied improperly;

 

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Session Laws, 1999
Volume 796, Page 3806   View pdf image
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