Md. Code Regs. 31.10.51.07

Current through Register Vol. 51, No. 18, September 6, 2024

Section 31.10.51.07 - Compliance Plan

A. If, as a result of the review of the reports desalbed in Regulations .02 and .03 of this chapter, the Commissioner finds that a carrier subject to Insurance Article, § 15-144, Annotated Code of Maiyland, failed to comply with provisions of the Parity Act, the Commissioner shall notify the carrier and require the carrier to submit a compliance plan pursuant to Insurance Article, § 15-144(i). Annotated Code of Maiyland, to correct the noncompliance. The notice shall be in writing, but may be transmitted electronically.

B. The carrier shall have 90 days to file a compliance plan following the date a notice of noncompliance is issued by the Commissioner.

C. The compliance plan shall include:

(1) An acknowledgement of the Commissioner's finding of noncompliance;

(2) A summary of action or actions taken by the carrier to correct the noncompliance prior to the notice from the Commissioner;

(3) A summary of future action or actions to correct the noncompliance and the time frame when the actions will be taken; and

(4) A summary of amounts owed to members or providers due to violations of the Parity Act, including:

(a) Any amounts owed to members and the payment date or dates;

(b) Draft correspondence to members;

(c) Any amounts owed to providers and the payment date or dates;

(d) Draft correspondence to providers; and

(e) Confirmation of amounts paid to members and providers.

Md. Code Regs. 31.10.51.07

Regulations .07 adopted effective 48:26 Md. 1113, eff. 12/27/2021