A carrier shall notify the Commissioner of the results of any final review conducted by a ratings examiner of a physician rating system of the carrier within 45 calendar days after receipt of the results by the carrier. If the review conducted by a ratings examiner of a physician rating system of a carrier indicates that the physician rating system does not comply with the requirements of Title 19, Subtitle 1, Part V of the Health – General Article, the Commissioner may order the carrier to: correct the deficiency; or cease the use of the physician rating system. A carrier using a physician rating system shall report annually to the Commissioner: the number of appeals filed by physicians under this subtitle; and the outcome of the appeals.