This subtitle applies to a health benefit plan that:
(1) is delivered or issued in the State; or
(2) covers individuals who reside or work in the State if the health benefit plan is delivered or issued in a state that the Commissioner determines does not have an external complaint process for adverse decisions or grievances comparable to the complaint process established in this subtitle.
Structure Maryland Statutes
Subtitle 10A - Complaint Process for Adverse Decisions or Grievances
Section 15-10A-01 - Definitions
Section 15-10A-01.1 - Applicability
Section 15-10A-02 - Internal Grievance Process
Section 15-10A-03 - Review of Grievance Decision
Section 15-10A-04 - Decisions -- Final Decision; Notice; Hearing; Remedies for Noncompliance
Section 15-10A-05 - Independent Review Organizations or Medical Experts
Section 15-10A-07 - Quarterly Report to Commissioner by Health Advocacy Unit
Section 15-10A-08 - Annual Summary Report by Health Advocacy Unit
Section 15-10A-09 - Regulations; Right to Challenge Decision Resulting in Nonpayment