Section 27-303 – Unfair Claim Settlement Practices — in General
It is an unfair claim settlement practice and a violation of this subtitle for an insurer, nonprofit health service plan, or health maintenance organization to: (1) misrepresent pertinent facts or policy provisions that relate to the claim or coverage at issue; (2) refuse to pay a claim for an arbitrary or capricious reason based on all available […]
Section 27-304 – Unfair Claim Settlement Practices — General Business Practice
It is an unfair claim settlement practice and a violation of this subtitle for an insurer, nonprofit health service plan, or health maintenance organization, when committed with the frequency to indicate a general business practice, to: (1) misrepresent pertinent facts or policy provisions that relate to the claim or coverage at issue; (2) fail to acknowledge and […]
Section 27-304.1 – Regulations
The Commissioner shall adopt regulations that establish standards and procedures for: (1) the settlement of claims involving the total loss of a private passenger motor vehicle; and (2) the determination of the private passenger motor vehicle’s total loss value.
Section 27-305 – Penalties
(a) The Commissioner may impose a penalty: (1) not exceeding $2,500 for each violation of § 27–303 of this subtitle or a regulation adopted under § 27–303 of this subtitle; and (2) not exceeding $125,000 for each violation of § 27–303(9) of this subtitle or a regulation adopted under § 27–303(9) of this subtitle. (b) The penalty for a […]
Section 27-306 – Appeals
An appeal from an order issued by the Commissioner under this subtitle shall be taken in accordance with § 2-215 of this article.
Section 27-401 – Definitions
(a) In this subtitle the following words have the meanings indicated. (b) (1) “Claim” means a demand for payment or benefit under a policy or contract by an insured, third party, or representative of the insured or third party. (2) “Claim” includes a demand for payment or benefit made against: (i) the State under Title 12 of the State Government […]
Section 27-402 – Scope of Subtitle
The provisions of this subtitle that apply to insurers also apply to: (1) a corporation that operates a nonprofit health service plan under Title 14, Subtitle 2 of this article; (2) a dental plan organization as defined in § 14–401 of this article; (3) a health maintenance organization as defined in Title 19, Subtitle 7 of the Health […]
Section 27-403 – Failure to Return Premiums; False or Misleading Claims
It is a fraudulent insurance act for a person: (1) knowingly to fail to return any money or premiums paid for a policy to an insured, designee of the insured, or another person entitled to the money or premiums if the insurance contracted for is not ultimately provided; (2) to present or cause to be presented to […]
Section 27-404 – Doing Business With Unlicensed Persons
It is a fraudulent insurance act for an insurer doing business in the State knowingly to write or place a policy or insurance contract in the State through, or pay a commission or other consideration to, a person that is required to have a certificate of qualification under this article but does not have a […]
Section 27-205 – False Statements of Financial Condition of Insurer
(a) A person may not knowingly file with a supervisory or other public official, make, publish, disseminate, circulate, deliver to another person, place before the public, or cause directly or indirectly to be made, published, disseminated, circulated, delivered to another person, or placed before the public a false statement of the financial condition of an insurer. […]