(a) On written request of the claimant, an insurer that denies a claim made on an individual health insurance policy shall give written notice to the claimant that states fully the reason for the denial.
(b) The reason given by an insurer for denial of a claim shall not act as an estoppel or limit the insurer from offering an additional reason for the denial.
(c) The notice given by an insurer under this section is subject to 45 C.F.R. § 164.522(b).
Structure Maryland Statutes
Subtitle 10 - Claims and Utilization Review
Section 15-1001 - Requirement for Utilization Review
Section 15-1002 - Claim Forms to Conform to Regulations
Section 15-1003 - Adoption of Uniform Claims Forms Required
Section 15-1004 - Acceptance of Uniform Claims Forms Required
Section 15-1005 - Prompt Payment of Claims
Section 15-1006 - Notice of Reason for Denial of Claim
Section 15-1007 - Summary Explanation of Benefits
Section 15-1008 - Retroactive Denial of Reimbursement
Section 15-1009 - "Carrier" Defined; Reimbursement for Preauthorized Care; Payment of Claims
Section 15-1010 - "Disability Benefit" and "Adverse Benefit Determination" Defined; Regulations
Section 15-1011 - Expense Reimbursement Claims Forms -- Methods for Submission