<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".02" citation="COMAR 31.02.01.02" title_num="31" subtitle_num="02" chapter_num="01" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Administration” means the Maryland Insurance Administration.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Administrative complaint” means a document that:</text>
      <paragraph num="(a)">
        <text>Is received by the Commissioner from any person; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Alleges a violation of:</text>
        <paragraph num="(i)">
          <text>A law or regulation enforced by the Commissioner; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>An order issued by the Commissioner.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Contested Case.</text>
      <paragraph num="(a)">
        <text>“Contested case” has the meaning stated in State Government Article, §10-202(d), Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Contested case” includes a proceeding:</text>
        <paragraph num="(i)">
          <text>Arising out of a determination made by the Commissioner;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Arising out of a charging document, order, or notice issued by the Commissioner;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Regarding a license, certificate, registration, or special permit;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>On a proposed examination report; or</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Arising out of any other act of, threatened act of, or failure to act by the Commissioner that aggrieves a person.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>“Contested case” does not include:</text>
        <paragraph num="(i)">
          <text>A hearing on the approval or disapproval of a rate filing or a form filing; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Any other quasi-legislative hearing.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Determination.</text>
      <paragraph num="(a)">
        <text>“Determination” means a decision by the Commissioner that requires the Commissioner to provide the opportunity for a hearing to a person aggrieved by the decision under Insurance Article, §2-210, Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Determination” includes:</text>
        <paragraph num="(i)">
          <text>A decision as to whether a person against whom an administrative complaint has been received violated a law, regulation, or order; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>An order issued under Insurance Article, §2-204, Annotated Code of Maryland.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Examination Report.</text>
      <paragraph num="(a)">
        <text>“Examination report” means a report of the examination of:</text>
        <paragraph num="(i)">
          <text>An authorized insurer, management company of an authorized insurer, subsidiary owned or controlled by an authorized insurer, rating organization, or authorized health maintenance organization that is subject to examination under Insurance Article, §2-205, Annotated Code of Maryland;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>An insurance producer, surplus lines broker, general agent, adjuster, public adjuster, adviser, or other person that is subject to examination under Insurance Article, §2-206, Annotated Code of Maryland;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>An accredited reinsurer that is subject to examination under Insurance Article, Title 5, Subtitle 9, Annotated Code of Maryland;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>A third party administrator that is subject to examination under Insurance Article, §8-319, Annotated Code of Maryland;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>A fraternal benefit society that is subject to examination under Insurance Article §8-461 or 8-462, Annotated Code of Maryland;</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>An accepted fronting reinsurer that is subject to examination under Insurance Article, §13-116, Annotated Code of Maryland;</text>
        </paragraph>
        <paragraph num="(vii)">
          <text>A nonprofit health service plan that is subject to examination under Insurance Article, §14-125, Annotated Code of Maryland;</text>
        </paragraph>
        <paragraph num="(viii)">
          <text>A dental plan organization that is subject to examination under Insurance Article, §14-411, Annotated Code of Maryland;</text>
        </paragraph>
        <paragraph num="(ix)">
          <text>A private review agent that is subject to examination under Insurance Article, §15-10B-19, Annotated Code of Maryland;</text>
        </paragraph>
        <paragraph num="(x)">
          <text>A premium finance company that is subject to examination under Insurance Article, §23-103, Annotated Code of Maryland;</text>
        </paragraph>
        <paragraph num="(xi)">
          <text>A managed care organization that is subject to examination under Health-General Article, §15-102.3, Annotated Code of Maryland;</text>
        </paragraph>
        <paragraph num="(xii)">
          <text>A provider-sponsored organization that is subject to examination under Health-General Article, Title 19, Subtitle 7A, Annotated Code of Maryland;</text>
        </paragraph>
        <paragraph num="(xiii)">
          <text>The Chesapeake Employers’ Insurance Company, which is subject to examination under Insurance Article, §24-304(e)(1), Annotated Code of Maryland; or</text>
        </paragraph>
        <paragraph num="(xiv)">
          <text>Any other person that is subject to examination by the Commissioner under any other provision of law.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>“Examination report” includes:</text>
        <paragraph num="(i)">
          <text>A financial examination report; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A market conduct examination report.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>“Hearing officer” means:</text>
      <paragraph num="(a)">
        <text>The Maryland Insurance Commissioner or the Commissioner's authorized designee under Insurance Article, §2-210(d), Annotated Code of Maryland; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An administrative law judge.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>“Licensee” means a person holding a certificate of authority, license, registration, or special permit issued by the Administration or who has other similar authority to operate under the regulatory authority of the Administration.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Office” means the Office of Administrative Hearings.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Proposed examination report” means an examination report that:</text>
      <paragraph num="(a)">
        <text>The Commissioner mails to the person examined:</text>
        <paragraph num="(i)">
          <text>At the conclusion of an examination; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Before filing the examination report; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Informs the person being examined of the person's right to request a hearing pursuant to Regulation .04C of this chapter.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>