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<section article="gin" article_name="Insurance" number="27-303" title_number="27" title_name="Unfair Trade Practices and Other Prohibited Practices" subtitle_number="3" subtitle_name="Unfair Claim Settlement Practices">
  <text>It is an unfair claim settlement practice and a violation of this subtitle for an insurer, nonprofit health service plan, or health maintenance organization to:</text>
  <level label="1">
    <text>misrepresent pertinent facts or policy provisions that relate to the claim or coverage at issue;</text>
  </level>
  <level label="2">
    <text>refuse to pay a claim for an arbitrary or capricious reason based on all available information;</text>
  </level>
  <level label="3">
    <text>attempt to settle a claim based on an application that is altered without notice to, or the knowledge or consent of, the insured;</text>
  </level>
  <level label="4">
    <text>fail to include with each claim paid to an insured or beneficiary a statement of the coverage under which payment is being made;</text>
  </level>
  <level label="5">
    <text>fail to settle a claim promptly whenever liability is reasonably clear under one part of a policy, in order to influence settlements under other parts of the policy;</text>
  </level>
  <level label="6">
    <text>fail to provide promptly on request a reasonable explanation of the basis for a denial of a claim;</text>
  </level>
  <level label="7">
    <text>fail to meet the requirements of Title 15, Subtitle 10B of this article for preauthorization for a health care service;</text>
  </level>
  <level label="8">
    <text>fail to comply with the provisions of Title 15, Subtitle 10A of this article;</text>
  </level>
  <level label="9">
    <text>fail to act in good faith, as defined under § 27–1001 of this title, in settling a first–party claim under a policy of property and casualty insurance; or</text>
  </level>
  <level label="10">
    <text>fail to comply with the provisions of § 16–118 of this article.</text>
  </level>
</section>
