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<chapter num="06" heading="Payment of Awards and Assessments and Termination of Benefits" title_num="14" subtitle_num="09">
  <regulation prefix="Regulation" num=".01" heading="Payment Prior to Filing of Claim.">
    <paragraph num="A.">
      <text>If a covered employee or dependent has not filed a claim with the Commission for the death or disability of the covered employee, an employer or insurer may not pay, in whole or in part, any compensation under Labor and Employment Article, Title 9, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="B.">
      <text>If a covered employee or dependent has not filed a claim with the Commission for the death or disability of the covered employee, an employer or insurer may pay or contest charges for medical and other services under Labor and Employment Article, Title 9, Subtitle 6, Part IX or Part XIII, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="C.">
      <text>An employer or insurer shall pay uncontested medical charges promptly after receipt.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Claims for Medical Expenses; Notice; Penalty.">
    <paragraph num="A.">
      <text>Notice. Within 5 days after receipt of an order of the Commission on a claim for payment for medical services, the claimant shall serve a copy of the order on the provider of the medical services for which payment was granted or denied.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Penalty for Late Payment for Treatment or Services.</text>
      <paragraph num="(1)">
        <text>The Commission may assess against an employer or insurer a fine not to exceed 20 percent of any fee approved but not timely paid pursuant to Labor and Employment Article, §9-664, Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The Commission shall determine the amount of the fine on a case-by-case basis.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Payment of Assessments.">
    <paragraph num="A.">
      <text>Time for Payment. Assessments payable for the SIF and the UEF shall be paid within 30 days after the date of the award of compensation or approval of a settlement.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Assessments shall be paid in accordance with Labor and Employment Article, §§9-806, 9-1007, and 9-1008, Annotated Code of Maryland, as ordered by the Commission.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".04" 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>
  <annotations>
    <annotation type="Authority">Labor and Employment Article, §§9-309, 9-605, 9-713, 9-727—9-731, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date: May 28, 2001 (28:10 Md. R. 949)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .01 amended effective September 2, 2002 (29:17 Md. R. 1382)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .01B amended effective November 26, 2001 (28:23 Md. R. 2055); April 11, 2005 (32:7 Md. R. 683)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02 amended effective September 2, 2002 (29:17 Md. R. 1382); April 11, 2005 (32:7 Md. R. 683)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .02C repealed effective November 26, 2001 (28:23 Md. R. 2055)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .05 amended effective July 4, 2005 (32:13 Md. R. 1116); July 23, 2012 (39:14 Md. R. 839)</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .01—.03, recodified from Regulations .09, .22, and .21 in COMAR 14.09.01, Procedural Regulations, to COMAR 14.09.06, Payment of Awards and Assessments and Termination of Benefits, and amended effective March 3, 2014 (41:4 Md. R. 303)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .04 adopted effective March 3, 2014 (41:4 Md. R. 303)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .04A amended effective October 18, 2021 (48:21 Md. R. 890)</annotation>
  </annotations>
</chapter>