§ 27-303
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/md/insurance/27-303A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
§27–303.
It is an unfair claim settlement practice and a violation of this subtitle for an insurer, nonprofit health service plan, or health maintenance organization to:
(1)misrepresent pertinent facts or policy provisions that relate to the claim or coverage at issue;
(2)refuse to pay a claim for an arbitrary or capricious reason based on all available information;
(3)attempt to settle a claim based on an application that is altered without notice to, or the knowledge or consent of, the insured;
(4)fail to include with each claim paid to an insured or beneficiary a statement of the coverage under which payment is being made;
(5)fail to settle a claim promptly whenever liability is reasonably clear under one part of a policy, in order to influence settlements under other parts of the policy;
(6)fail to provide promptly on request a reasonable explanation of the basis for a denial of a claim;
(7)fail to meet the requirements of Title 15, Subtitle 10B of this article for preauthorization for a health care service;
(8)fail to comply with the provisions of Title 15, Subtitle 10A of this article;
(9)fail to act in good faith, as defined under § 27–1001 of this title, in settling a first–party claim under a policy of property and casualty insurance; or
(10)fail to comply with the provisions of § 16–118 of this article.