|
|
|
|
|
|
|
|
|
|
|
|
|
Ch. 323 2000 LAWS OF MARYLAND
|
|
|
|
|
|
|
(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, 10D, 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;
(hi) Provide a service that has been denied improperly;
(iv) Take appropriate steps to restore its ability to provide a service
that is provided under a contract;
(v) Cease the enrollment of any additional enrollees except
newborn children or other newly acquired dependents or existing enrollees; or
(vi) Cease any advertising or solicitation;
(2) [Impose] EXCEPT AS PROVIDED IN SUBSECTION (B) OF THIS
SECTION, IMPOSE a penalty of not more than $5,000 for each unlawful act committed;
(3) Impose any penalty that could be imposed on an insurer under §
4-113(d) of the Insurance Article;
(2) IN ADDITION TO SUSPENDING OR REVOKING A CERTIFICATE OF
AUTHORITY:
(I) IMPOSE A PENALTY OF NOT LESS THAN $100, BUT NOT MORE
THAN $125,000 FOR EACH VIOLATION; AND
(II) ORDER THE HEALTH MAINTENANCE ORGANIZATION TO PAY
RESTITUTION TO ANY PERSON WHO HAS SUFFERED FINANCIAL INJURY BECAUSE OF
THE VIOLATION;
|
|
|
|
|
|
|
|
- 1930 -
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
 |