Section 19-729 - Prohibited acts; remedies.
§ 19-729. Prohibited acts; remedies.
(a) Prohibited acts.- A health maintenance organization may not:
(1) Violate any provision of this subtitle or any rule or regulation adopted under it;
(2) Fail to fulfill its obligations to provide the health care services specified in its contracts with subscribers;
(3) Make any false statement with respect to any report or statement required by this subtitle or by the Commissioner under this subtitle;
(4) Advertise, merchandise, or attempt to merchandise its services in a way that misrepresents its services or capacity for service;
(5) Engage in a deceptive, misleading, unfair, or unauthorized practice as to advertising or merchandising;
(6) Prevent or attempt to prevent the Commissioner or the Department from performing any duty imposed by this subtitle;
(7) Fraudulently obtain or fraudulently attempt to obtain any benefit under this subtitle;
(8) Fail to fulfill the basic requirements to operate as a health maintenance organization as provided in § 19-710 of this subtitle;
(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, 10C, or 10D or § 2-112.2 of the Insurance Article; or
(12) Violate any provision of § 19-712.5 of this subtitle.
(b) Remedies.- 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.
[An. Code 1957, art. 43, § 850; 1982, ch. 21, § 2; 1986, ch. 816; 1993, ch. 9, § 2; 1997, ch. 70, § 4; 1998, ch. 111, § 2; ch. 112, § 2; chs. 605, 606; 1999, chs. 71, 697; 2001, ch. 53.]