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H.B. 99 VETOES
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(D) SUBSECTIONS (B) AND (C) OF THIS SECTION DO NOT APPLY TO A DENTAL
PLAN ORGANIZATION THAT DOES NOT HAVE ANY ENROLLEES, AS DETERMINED BY
THE COMMISSIONER SO LONG AS THE DENTAL PLAN ORGANIZATION:
(1) HELD A CERTIFICATE OF AUTHORITY AS OF JANUARY 1, 2000;
(2) MAINTAINS A CURRENT CERTIFICATE OF AUTHORITY; AND
(3) COMPLIES WITH ALL APPLICABLE LAWS AND REGULATIONS, AS
DETERMINED BY THE COMMISSIONER.
14-409.
(a) The Commissioner may suspend or revoke a certificate of authority issued
to a dental plan organization under this subtitle if the Commissioner finds that:
(1) the dental plan organization is operating in a manner significantly
contrary to that described in §§ 14-403, 14-405, 14-407, and 14-408 of this subtitle;
(2) the dental plan organization issues evidence of coverage that does not
comply with § 14-410 of this subtitle;
(3) the dental plan organization can no longer be expected to meet its
obligations to enrollees;
(4) the agreements of the dental plan organization with dentists are not
sufficient to provide the dental services covered by the dental plan;
(5) the dental plan organization, or authorized person acting on its
behalf, has advertised or merchandised its services in an untrue or misleading
manner;
(6) the conditions or methods of operation of the dental plan organization
make continued operation hazardous to enrollees or the public; or
(7) the dental plan organization has failed to comply with this subtitle or
any regulations adopted under this subtitle.
(b) If the Commissioner has cause to believe that grounds exist for the
suspension or revocation of a certificate of authority, the Commissioner shall notify
the dental plan organization of the suspension or revocation in writing and the
grounds.
(c) If the Commissioner suspends the certificate of authority, the dental plan
organization may not accept additional enrollees or engage in advertising or
solicitation during the period of suspension.
(d) (1) If the Commissioner revokes the certificate of authority, the dental
plan organization shall dissolve its structure immediately after the effective date of
the order of revocation and may not conduct further business, except as essential to
the orderly conclusion of the affairs of the dental plan organization.
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