<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 14.09.06.04" title_num="14" subtitle_num="09" chapter_num="06" heading="Termination of Temporary Total Disability and Medical Benefits.">
  <paragraph num="A.">
    <text>Termination of Monetary Benefits Requiring Notice.</text>
    <paragraph num="(1)">
      <text>Prior to terminating payment of temporary total disability benefits, an insurer shall give written notice to the claimant by:</text>
      <paragraph num="(a)">
        <text>Completing the insurer’s termination of temporary total disability benefits form; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Sending a copy of the form to the claimant, counsel and to the Commission.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The insurer’s termination of temporary total disability benefits form may be used to provide notice to the claimant of the termination of disability benefits when:</text>
      <paragraph num="(a)">
        <text>The employee is working for another employer other than the employer where the accident or occupational disease occurred;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>No medical evidence supports continued payment;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The employee failed to appear for a medical evaluation requested by the employer/insurer;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>A physician other than the employee's chosen treating physician has determined that the employee has reached maximum medical improvement; or</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Otherwise supported by law.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Termination of Monetary Benefits — No Notice Required. An insurer may terminate payment of temporary total disability benefits without providing written notice, pursuant to Labor &amp; Employment Article, §9-733(a), Annotated Code of Maryland, if:</text>
    <paragraph num="(1)">
      <text>The employee has returned to his or her current employment;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A treating physician chosen by the employee has advised that the employee has reached maximum medical improvement; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The termination is made after the termination date contained in an order of the Commission.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Termination of Medical Benefits.</text>
    <paragraph num="(1)">
      <text>Prior to terminating the payment of medical benefits, an insurer shall give written notice to the claimant and the claimant's treating physician or health care provider of the date that benefits will be terminated.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Written notice of the date that medical benefits will be terminated shall include a statement that the claimant has the right to request a hearing before the Commission on the issue of termination.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A copy of the termination notice provided to the claimant shall be filed with the Commission.</text>
    </paragraph>
  </paragraph>
</regulation>