{"data":{"id":"us-md/md.-code-insurance-15-10d-03","jurisdiction":"us-md","citation":"Md. Code, Insurance § 15–10D–03","heading":"","body":"(a) It is a violation of this subtitle for a carrier to fail to fulfill the carrier’s obligations to provide or reimburse for health care services specified in the carrier’s policies or contracts with members.\n(b) If, in rendering a coverage decision or appeal decision, a carrier fails to fulfill the carrier’s policies or contracts with members, the Commissioner may:\n(1) issue an administrative order that requires the carrier to:\n(i) cease inappropriate conduct or practices by the carrier or any of the personnel employed or associated with the carrier;\n(ii) fulfill the carrier’s contractual obligations;\n(iii) provide a health care service or payment that has been denied improperly; or\n(iv) take appropriate steps to restore the carrier’s ability to provide a health care service or payment that is provided under a contract; or\n(2) impose any penalty or fine or take any action as authorized:\n(i) for an insurer, nonprofit health service plan, or dental plan organization, under this article; or\n(ii) for a health maintenance organization, under the Health - General Article or under this article.","path":["Article - Insurance"],"source_url":"https://mgaleg.maryland.gov/mgawebsite/Laws/StatuteText?article=gin\u0026section=15-10D-03","current_through":"2026-01-01","vintage":"","retrieved_at":"2026-09-14T19:59:28Z","sha256":"a6c524b28eb35686678c9ea9f6787eee960d3285e8e7863f090adc7f8b4be32a","source_id":"us-md","stale":false,"prev":"us-md/md.-code-insurance-15-10d-02","next":"us-md/md.-code-insurance-15-10d-04"},"notice":"GroundRules: Original legal text. Not legal advice."}