Home Table of Contents

§ 15-1006. Notice of reason for denial of claim

West's Annotated Code of MarylandInsuranceEffective: April 8, 2014

West's Annotated Code of Maryland
Insurance (Refs & Annos)
Title 15. Health Insurance
Subtitle 10. Claims and Utilization Review (Refs & Annos)
Effective: April 8, 2014
MD Code, Insurance, § 15-1006
§ 15-1006. Notice of reason for denial of claim
Written notice stating reason for denial
(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.
Reason given for denial not estoppel or limit to insurer
(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.
Construction with regulations
(c) The notice given by an insurer under this section is subject to 45 C.F.R. § 164.522(b).

Credits

Added by Acts 1997, c. 35, § 2, eff. Oct. 1, 1997. Amended by Acts 2014, c. 72, § 1, eff. April 8, 2014.
Formerly Art. 48A, § 468A.
MD Code, Insurance, § 15-1006, MD INSURANCE § 15-1006
Current through legislation effective through April 25, 2024, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
End of Document