Regulation .06 Compliance Plan.
Regulation .06 Compliance Plan.LinkCopy Citation
A.
If, as a result of the review of the reports described in Regulation .04 of this chapter, the Commissioner finds that a carrier subject to Insurance Article, §15-144, Annotated Code of Maryland, failed to comply with provisions of the Parity Act, the Commissioner shall notify the carrier and require the carrier to submit a compliance plan pursuant to Insurance Article, §15-144(i), Annotated Code of Maryland, to correct the noncompliance. The notice shall be in writing, but may be transmitted electronically.
B.
The carrier shall have 90 days to file a compliance plan following the date a notice of noncompliance is issued by the Commissioner.
C.
The compliance plan shall include:
(1)
An acknowledgement of the Commissioner’s finding of noncompliance;
(2)
A summary of action or actions taken by the carrier to correct the noncompliance prior to the notice from the Commissioner;
(3)
A summary of future action or actions to correct the noncompliance and the time frame when the actions will be taken; and
(4)
A summary of amounts owed to members or providers due to violations of the Parity Act, including:
(a)
Any amounts owed to members and the payment date or dates;
(b)
Draft correspondence to members;
(c)
Any amounts owed to providers and the payment date or dates;
(d)
Draft correspondence to providers; and
(e)
Confirmation of amounts paid to members and providers.