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S.B. 497 VETOES
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[(4)] (3) Suspend, revoke, or refuse to renew the certificate of authority to
do business as a health maintenance organization;
[(5)] (4) Suspend, revoke, or refuse to renew the certificate of a medical
director of a health maintenance organization; OR
[(6) Impose any penalty that could be imposed on an insurer under §
4-113(d) of the Insurance Article; or
(7)] (5) Apply to any court for legal or equitable relief considered
appropriate by the Commissioner or the Department, in accordance with the joint
internal procedures.
(b) If the Commissioner issues an order or imposes any penalty under this
section, the Commissioner immediately shall provide written notice of the order or
penalty to the Secretary.
Article - Insurance
15-605.
(a) (1) On or before March 1 of each year, an annual report that meets the
specifications of paragraph (2) of this subsection shall be submitted to the
Commissioner by:
(i) each authorized insurer that provides health insurance in the
State;
(ii) each nonprofit health service plan that is authorized by the
Commissioner to operate in the State;
(iii) each health maintenance organization that is authorized by the
Commissioner to operate in the State; and
(iv) as applicable in accordance with regulations adopted by the
Commissioner, each managed care organization that is authorized to receive Medicaid
prepaid capitation payments under Title 15, Subtitle 1 of the Health - General Article.
(2) The annual report required under this subsection shall:
(i) be submitted in a form required by the Commissioner; and
(ii) include for the preceding calendar year the following data for all
health benefit plans specific to the State:
1. premiums written;
2. premiums earned;
3. total amount of incurred claims including reserves for
claims incurred but not reported at the end of the previous year;
4. total amount of incurred expenses, including commissions,
acquisition costs, general expenses, taxes, licenses, and fees, estimated if necessary;
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- 3918 -
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