<?xml version='1.0' encoding='utf-8'?>
<chapter num="20" heading="Market Conduct Actions" title_num="31" subtitle_num="04">
  <regulation prefix="Regulation" num=".01" heading="Applicability.">
    <paragraph num="A.">
      <text>This chapter establishes the process and procedures for market conduct actions.</text>
    </paragraph>
    <paragraph num="B.">
      <text>This chapter does not apply to the examination or investigation of:</text>
      <paragraph num="(1)">
        <text>A person's financial condition as described in Insurance Article, Titles 5, 6, 7, and 9, Annotated Code of Maryland, as well as COMAR 31.04, 31.05, and 31.06; or</text>
      </paragraph>
      <paragraph num="(2)">
        <text>An insurance producer.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Scope.">
    <text>Nothing in this chapter limits the Commissioner's authority to conduct an analysis, investigation, or examination, or to issue orders pursuant to law. All applicable provisions, including the confidentiality provisions, of Insurance Article, Annotated Code of Maryland, apply to market conduct actions.</text>
  </regulation>
  <regulation prefix="Regulation" num=".03" 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>“Analysis” has the meaning stated in Insurance Article, §2-205(a), Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>“Business practices” means the operations, policies, procedures and other activities or administrative methods used by a person to conduct business.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>“Commissioner” means the Insurance Commissioner of Maryland or the Insurance Commissioner's designee.</text>
      </paragraph>
      <paragraph num="(4)">
        <text>“Complaint” means a written or documented oral communication expressing dissatisfaction with a person.</text>
      </paragraph>
      <paragraph num="(5)">
        <text>“Market conduct action” means any of the full range of activities that the Commissioner may initiate to assess the business practices of a person or persons, or the insurance market, including a market conduct analysis, market conduct investigation, or market conduct examination.</text>
      </paragraph>
      <paragraph num="(6)">
        <text>“Market conduct analysis” means an evaluation conducted whenever the Commissioner considers it advisable to identify or investigate the business practices of one or more persons, or the insurance market, from filed schedules, surveys, required reports, or other sources of information.</text>
      </paragraph>
      <paragraph num="(7)">
        <text>“Market conduct examination” means an inspection of the accounts, records, documents, or transactions of a person to develop a detailed understanding of the person's business practices to evaluate compliance with State law.</text>
      </paragraph>
      <paragraph num="(8)">
        <text>“Market conduct investigation” means a process used by the Commissioner to determine if a person has violated State law in that person's business practices.</text>
      </paragraph>
      <paragraph num="(9)">
        <text>“Person” means an insurer or other entity subject to regulation by the Commissioner and authorized to conduct business in this State.</text>
      </paragraph>
      <paragraph num="(10)">
        <text>“Proposed market conduct examination report” means the completed market conduct examination report that is required under Regulation .07 of this chapter.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".04" heading="Market Conduct Action.">
    <paragraph num="A.">
      <text>Whenever the Commissioner has the authority to conduct an analysis, examination, or investigation of a person's business practices, the Commissioner may conduct a market conduct action.</text>
    </paragraph>
    <paragraph num="B.">
      <text>The Commissioner may conduct a market conduct action:</text>
      <paragraph num="(1)">
        <text>Based on a complaint;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>As authorized by law;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Whenever the Commissioner considers it is advisable; or</text>
      </paragraph>
      <paragraph num="(4)">
        <text>With other states.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>If the Commissioner determines information is needed from a person to conduct a market conduct action, in accordance with Regulation .05 of this chapter:</text>
      <paragraph num="(1)">
        <text>The Commissioner shall request the information; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The person shall provide the information.</text>
      </paragraph>
    </paragraph>
    <paragraph num="D.">
      <text>The Commissioner may participate in a market conduct action with one or more other states to determine if a Maryland law has been violated by the person subject to the market conduct action.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".05" heading="Information.">
    <paragraph num="A.">
      <text>The Commissioner may request accounts, records, documents, files, or other information needed to complete a market conduct action.</text>
    </paragraph>
    <paragraph num="B.">
      <text>The Commissioner may include a reference to the applicable law pertaining to the request.</text>
    </paragraph>
    <paragraph num="C.">
      <text>The Commissioner may request information through:</text>
      <paragraph num="(1)">
        <text>A survey;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>An interrogatory;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>An interview; or</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Any other procedure identified by the Commissioner.</text>
      </paragraph>
    </paragraph>
    <paragraph num="D.">
      <text>Whenever a person receives a request from the Commissioner for information, the person shall provide the requested information:</text>
      <paragraph num="(1)">
        <text>Within the time specified by the Commissioner, unless an extension has been granted by the Commissioner in accordance with §§G and H of this regulation; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>In the manner specified by the Commissioner.</text>
      </paragraph>
    </paragraph>
    <paragraph num="E.">
      <text>When the person submits the information to the Commissioner, the person shall provide written certification, signed by an individual with authority to bind the person providing the response, that the:</text>
      <paragraph num="(1)">
        <text>Information is, to the best of that individual's knowledge, information, and belief, a full, complete, and truthful response to the Commissioner's request; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Individual making the certification has undertaken an adequate inquiry to make the required certification.</text>
      </paragraph>
    </paragraph>
    <paragraph num="F.">
      <text>If the person fails to provide the certification required under §E of this regulation, the absence of this certification:</text>
      <paragraph num="(1)">
        <text>Does not relieve the person responding to a request of the Commissioner of the duty to provide a full, complete, and truthful response to the Commissioner's request; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Shall constitute an explicit representation by the person that the response is full, complete, and truthful.</text>
      </paragraph>
    </paragraph>
    <paragraph num="G.">
      <text>A person may submit a written request, stating the reason for the request, to the Commissioner to extend the time for the submission of information:</text>
      <paragraph num="(1)">
        <text>For a market conduct analysis or market conduct investigation, after receipt of the request specified in §D of this regulation; or</text>
      </paragraph>
      <paragraph num="(2)">
        <text>For a market conduct examination, after receipt of the notice specified in Regulation .06G of this chapter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="H.">
      <text>If the Commissioner receives the request pursuant to §G of this regulation, the Commissioner shall:</text>
      <paragraph num="(1)">
        <text>Grant an extension; or</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Notify the person that the request to extend the time is denied.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".06" heading="Market Conduct Examination.">
    <paragraph num="A.">
      <text>The Commissioner shall conduct a market conduct examination in accordance with this regulation.</text>
    </paragraph>
    <paragraph num="B.">
      <text>The Commissioner shall notify the person subject to the market conduct examination, in writing, that a market conduct examination has commenced.</text>
    </paragraph>
    <paragraph num="C.">
      <text>The Commissioner's notification that a market conduct examination has commenced shall:</text>
      <paragraph num="(1)">
        <text>Specify the lines of insurance, scope, intent, and period covered by the market conduct examination;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Provide the name and contact information of the Commissioner; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Provide any other information the Commissioner considers relevant.</text>
      </paragraph>
    </paragraph>
    <paragraph num="D.">
      <text>The person notified under §B of this regulation shall give written notice to the Commissioner of the individual who:</text>
      <paragraph num="(1)">
        <text>Has the authority and responsibility to respond to the Commissioner's request for accounts, records, documents, files, or other information needed in order to complete the market conduct examination; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Will coordinate on behalf of the person the market conduct examination with the Commissioner.</text>
      </paragraph>
    </paragraph>
    <paragraph num="E.">
      <text>Following the notice provided under §§B and C of this regulation, the Commissioner shall conduct a conference with the person in a manner determined by the Commissioner to review:</text>
      <paragraph num="(1)">
        <text>The information the person must provide for the market conduct examination;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The administrative aspects of the market conduct examination, including but not limited to, market conduct examination expenses to be paid by the person examined; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Any other information the Commissioner considers relevant.</text>
      </paragraph>
    </paragraph>
    <paragraph num="F.">
      <text>After the completion of the conference required in §E of this regulation, the Commissioner:</text>
      <paragraph num="(1)">
        <text>May provide a written summary of the conference to the person; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Shall provide written notification of the information the person must provide for the market conduct examination in accordance with Regulation .05 of this chapter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="G.">
      <text>The Commissioner shall notify the person subject to a market conduct examination of the date after which the Commissioner may not accept additional information unless an extension has been granted by the Commissioner in accordance with Regulation .05G and H of this chapter.</text>
    </paragraph>
    <paragraph num="H.">
      <text>The Commissioner shall conduct an exit conference with the person subject to the market conduct examination in a manner determined by the Commissioner</text>
    </paragraph>
    <paragraph num="I.">
      <text>At the discretion of the Commissioner, a report certified by the insurance supervisory official of another state may be accepted in lieu of conducting a market conduct examination.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".07" heading="Market Conduct Examination Report.">
    <paragraph num="A.">
      <text>Whenever a market conduct examination is conducted pursuant to Regulation .06 of this chapter, the Commissioner shall:</text>
      <paragraph num="(1)">
        <text>Provide the person with a copy of the draft proposed market conduct examination report;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Allow the person to submit written comments on the draft proposed market conduct examination report within 30 days after the receipt of the draft proposed market conduct examination report, or the period specified by the Commissioner, whichever is longer;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Consider the written comments submitted by the person in finalizing the draft proposed market conduct examination report; and</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Include the written comments submitted by the person to the draft proposed market conduct examination report as an attachment to the proposed market conduct examination report.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>After receipt of the draft proposed market conduct examination report, a person may submit a written request, stating the reason for the request, to the Commissioner to extend the time for the submission of written comments.</text>
    </paragraph>
    <paragraph num="C.">
      <text>If the Commissioner receives a request pursuant to §B of this regulation, the Commissioner shall:</text>
      <paragraph num="(1)">
        <text>Grant an extension; or</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Notify the person that the request to extend the time is denied.</text>
      </paragraph>
    </paragraph>
    <paragraph num="D.">
      <text>The Commissioner shall provide the person with a copy of the proposed market conduct examination report.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".08" heading="Commissioner's Actions.">
    <paragraph num="A.">
      <text>Based on the information reviewed during a market conduct analysis the Commissioner may, in the Commissioner's sole discretion:</text>
      <paragraph num="(1)">
        <text>Broaden the scope and period of the market conduct analysis;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Conduct a market conduct investigation or market conduct examination;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Issue an order; or</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Take any other action authorized or reasonably implied by Insurance Article, Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>If the Commissioner conducts a market conduct investigation, the Commissioner may, in the Commissioner's sole discretion, based on the information reviewed during the market conduct investigation:</text>
      <paragraph num="(1)">
        <text>Broaden the scope and period of the market conduct investigation;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Conduct a market conduct examination;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Issue an order; or</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Take any other action authorized or reasonably implied by Insurance Article, Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>If the Commissioner conducts a market conduct examination, the Commissioner may, in the Commissioner's sole discretion, based on the information reviewed during the market conduct examination:</text>
      <paragraph num="(1)">
        <text>Conduct a market conduct investigation of a particular matter;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Broaden the scope and period of the market conduct examination;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Issue an order; or</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Take any other action authorized or reasonably implied by Insurance Article, Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".09" heading="Sanctions.">
    <text>If a person subject to this chapter fails to provide the information requested by the Commissioner in accordance with this chapter, the person may be subject to an administrative fine not exceeding $500 per day, in addition to any other penalty available to the Commissioner.</text>
  </regulation>
  <regulation prefix="Regulation" num=".10" heading="Hearings.">
    <paragraph num="A.">
      <text>A person aggrieved by an order or proposed market conduct examination report may request a hearing in accordance with the provisions of COMAR 31.02.01.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Except as otherwise provided by law, a person may not rely on any information not timely provided in accordance with Regulation .06G of this chapter in any hearing held on an order or proposed market conduct examination report.</text>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">Insurance Article, §§2-109 and 12-203(d)(2), Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date: April 5, 2010 (37:7 Md. R. 576)</annotation>
  </annotations>
</chapter>