<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".09" citation="COMAR 09.01.09.09" title_num="09" subtitle_num="01" chapter_num="09" heading="Notice Requirements for Denial of Coverage.">
  <paragraph num="A.">
    <text>Notice of Denial.</text>
    <paragraph num="(1)">
      <text>The operator of a plan shall notify the buyer in writing of a decision to deny warranty coverage for all or part of a claim not later than 90 days after the claim is received by the operator.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The notice of denial shall include:</text>
      <paragraph num="(a)">
        <text>Reference to the specific terms of the plan on which the denial is based; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The procedures which the buyer must follow to appeal the denial, including all time limitations.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>If the operator is unable to reach a decision on the claim within 90 days, the operator shall:</text>
    <paragraph num="(1)">
      <text>Before the end of the 90-day period, notify the buyer in writing of the:</text>
      <paragraph num="(a)">
        <text>Reasons for the inability to meet the deadline, and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Date by which the decision will be reached; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>When a decision on the claim is reached, notify the buyer of a decision to deny warrant coverage in accordance with §A of this regulation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The operator shall send copies of all notifications of denial of coverage to the Secretary at the same time that the notice is sent to the buyer.</text>
  </paragraph>
</regulation>