(a) This section applies to an employee benefit plan whose benefit provisions are governed by the Employee Retirement Income Security Act of 1974 (ERISA) or another federal law.
(b) On request of the Commissioner, each insurer, employer, third party administrator, or other entity that issues, delivers, administers, or offers a preferred provider insurance policy in the State shall file with the Commissioner:
(1) a written summary description and a prototype copy of:
(i) the preferred provider insurance policy;
(ii) all attendant provider service contracts;
(iii) any other related contracts; and
(iv) any amendments to the documents listed in items (i) through (iii) of this item; and
(2) any other related documents or information that the Commissioner requires.
(c) The Commissioner may impose a penalty not exceeding $1,000 for each failure to comply with this section.
Structure Maryland Statutes
Title 14 - Entities That Act as Health Insurers
Subtitle 2 - Preferred Provider Organizations
Section 14-202 - Scope of Subtitle
Section 14-204 - Authority of Insurers
Section 14-205 - Benefits for Health Care Services; Payments to and Rates for Providers
Section 14-205.1 - Option to Include Preferred or Nonpreferred Providers