§ 27-803. Insurance antifraud plan requirements for authorized insurers
West's Annotated Code of MarylandInsuranceEffective: October 1, 2018
Effective: October 1, 2018
MD Code, Insurance, § 27-803
§ 27-803. Insurance antifraud plan requirements for authorized insurers
(a)(1) Each authorized insurer that has in force policies or certificates of insurance in the State shall institute and maintain an insurance antifraud plan.
(b) Each antifraud plan shall establish specific procedures to:
(c)(1) Each authorized insurer that has in force policies or certificates of insurance in the State shall file its antifraud plan with the Commissioner.
(d)(1) If the Commissioner finds that an antifraud plan does not comply with the requirements of this section, the Commissioner shall disapprove the antifraud plan and send a notice of disapproval, including the reasons for disapproval, to the authorized insurer.
(e) During an examination under § 2-205 of this article, the Commissioner shall examine the authorized insurer's procedures to determine whether the authorized insurer is complying with its antifraud plan.
(f) The Commissioner may withhold from public inspection any part of an antifraud plan for as long as the Commissioner considers the withholding to be in the public interest.
(g)(1) As part of an antifraud plan, an authorized insurer may require in writing that an individual who is receiving benefits under a disability insurance policy must affirm on a periodic basis that the individual:
(2) An authorized insurer that requires the affirmation permitted under paragraph (1) of this subsection shall disclose to the individual who is receiving benefits that if the individual knowingly and willfully provides false information or knowingly and willfully fails to provide material information in connection with the individual's eligibility or continued eligibility for benefits under a disability insurance policy, the individual is guilty of a crime and may be subject to a fine and imprisonment.
(h) The Commissioner shall adopt regulations that establish minimum standards for antifraud plans required to be filed under this section.
(i) It is a violation of this subtitle if the Commissioner finds that an authorized insurer that has in force policies or certificates of insurance in the State has failed to:
Credits
Added by Acts 1997, c. 35, § 2, eff. Oct. 1, 1997. Amended by Acts 2001, c. 731, § 9, eff. July 2, 2001; Acts 2002, c. 19, § 5, eff. April 9, 2002; Acts 2009, c. 372, § 1, eff. Oct. 1, 2009; Acts 2018, c. 42, § 1, eff. Oct. 1, 2018.
Formerly Art. 48A, § 233B.
MD Code, Insurance, § 27-803, MD INSURANCE § 27-803
Current through legislation effective through April 9, 2023, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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