reglab/housing_qa huggingface dataset:
MD. Insurance Code Ann. §  14-115.1 (2021)
2021 Maryland Statutes|Insurance|Title 14 - Entities That Act as Health Insurers|Subtitle 1 - Nonprofit Health Service Plans|Part III - Management, Finances, and Solvency|Section 14-115.1 - Duties of Officers; Sanctions

    (a)    In this section, “officer” means any officer that a Maryland corporation is required or permitted to have under § 2-412 of the Corporations and Associations Article.    (b)    (1)    An officer of a nonprofit health service plan shall act:            (i)    in good faith;            (ii)    in a manner that is reasonably believed to be in the best interests of the corporation and its controlled affiliates or subsidiaries that offer health benefit plans;            (iii)    in a manner that is consistent with the mission of a nonprofit health service plan as required under § 14-102(c) of this subtitle; and            (iv)    with the care that an ordinarily prudent person in a like position would use under similar circumstances.        (2)    Except for the receipt of reasonable remuneration in conformity with § 14-139 of this subtitle, an officer of a nonprofit health service plan may not use the position of officer for personal or financial enrichment.        (3)    A violation of this subsection shall be considered an unsound or unsafe business practice under § 14-116 of this subtitle.
MD. Insurance Code Ann. §  14-118 (2021)
2021 Maryland Statutes|Insurance|Title 14 - Entities That Act as Health Insurers|Subtitle 1 - Nonprofit Health Service Plans|Part III - Management, Finances, and Solvency|Section 14-118 - Impaired Surplus

    (a)    If the minimum surplus of a corporation authorized under this subtitle required to be maintained by § 14-117 of this subtitle becomes impaired, the Commissioner immediately may determine the amount of deficiency and serve notice on the corporation and its board of directors to cure the deficiency within the time period specified by the Commissioner, which may not exceed 120 days after service of the notice.    (b)    The corporation may cure the deficiency in cash or in assets eligible for the investment of the corporation’s funds under § 14-120 of this subtitle.    (c)    Except as provided in subsection (d) of this section, if a corporation that has been notified of a deficiency under subsection (a) of this section does not cure the deficiency and file proof that it has done so with the Commissioner within the time period specified by the Commissioner:        (1)    the corporation may be considered insolvent; and        (2)    the Commissioner may institute delinquency proceedings against the corporation under Title 9, Subtitle 2 of this article.    (d)    (1)    The corporation may apply for a single extension of not more than 60 days to cure a deficiency.        (2)    The Commissioner may grant the extension if:            (i)    the corporation shows good cause why the deficiency was not cured in the initial time period specified by the Commissioner; and            (ii)    the deficiency exists because the Commissioner required an increased surplus, disallowed certain assets, or reduced the value of certain assets carried in the corporation’s accounts.
MD. Insurance Code Ann. §  14-119 (2021)
2021 Maryland Statutes|Insurance|Title 14 - Entities That Act as Health Insurers|Subtitle 1 - Nonprofit Health Service Plans|Part III - Management, Finances, and Solvency|Section 14-119 - Notification of Impairment

    (a)    In addition to the requirements of § 9-231 of this article, if a chief executive officer, chief financial officer, treasurer, or director knows that a nonprofit health service plan or its affiliate or subsidiary is impaired, that individual immediately shall notify the Commissioner of the impairment, unless the Commissioner has already been notified of the impairment by the chief executive officer, chief financial officer, treasurer, or director.    (b)    The provisions of § 9-231(d), (f), and (g) of this article apply to notice provided to the Commissioner under this section.
MD. Insurance Code Ann. §  14-120 (2021)
2021 Maryland Statutes|Insurance|Title 14 - Entities That Act as Health Insurers|Subtitle 1 - Nonprofit Health Service Plans|Part III - Management, Finances, and Solvency|Section 14-120 - Investments

    (a)    In this section, “group health care” means a practice by which an affiliate or subsidiary of a nonprofit health service plan engages the services of health care specialists who provide health care at predetermined locations in accordance with a prepaid health plan.    (b)    (1)    Except as provided in paragraph (2) of this subsection, a corporation subject to this subtitle may invest its funds only in assets allowed for the investment of the funds of life insurers under §§ 5-101 and 5-102 and Title 5, Subtitle 5 of this article.        (2)    If the Commissioner determines that a corporation subject to this subtitle is engaged principally in the business of group health care rather than the sale of an insurance product or plan described in § 14-102 of this subtitle, the Commissioner may allow the corporation to invest a sum not to exceed 50% of its assets in real estate for use as medical facilities and fixed medical equipment to be used solely for the purpose of engaging in group health care.
MD. Insurance Code Ann. §  14-125 (2021)
2021 Maryland Statutes|Insurance|Title 14 - Entities That Act as Health Insurers|Subtitle 1 - Nonprofit Health Service Plans|Part IV - Regulatory Authority of Commissioner|Section 14-125 - Inspection and Examination

    (a)    The Commissioner or an examiner of the Administration may inspect and examine the affairs of a corporation authorized under this subtitle and an affiliate or subsidiary of a corporation authorized under this subtitle.    (b)    In conducting an inspection or examination under this section, the Commissioner or examiner:        (1)    shall have free access to all of the books and documents of the corporation and its affiliates or subsidiaries; and        (2)    may subpoena and examine under oath any person, including an officer, agent, or employee of the corporation or its affiliates and subsidiaries, in relation to the affairs, transactions, and condition of the corporation or its affiliates and subsidiaries.    (c)    The Commissioner may delegate the authority provided under this section to a designee of the Commissioner.    (d)    The corporation or its affiliate or subsidiary whose affairs are examined under this section shall pay the expenses of examination in accordance with § 2-208 of this article.
MD. Insurance Code Ann. §  14-127 (2021)
2021 Maryland Statutes|Insurance|Title 14 - Entities That Act as Health Insurers|Subtitle 1 - Nonprofit Health Service Plans|Part IV - Regulatory Authority of Commissioner|Section 14-127 - Judicial Review

    (a)    Each decision or finding of the Commissioner about rates and forms made under § 14-126 of this subtitle is subject to judicial review in accordance with Title 11, Subtitle 5 of this article.    (b)    All other decisions and findings of the Commissioner about a corporation subject to this subtitle are subject to judicial review in accordance with § 2-215 of this article.
MD. Insurance Code Ann. §  14-130 (2021)
2021 Maryland Statutes|Insurance|Title 14 - Entities That Act as Health Insurers|Subtitle 1 - Nonprofit Health Service Plans|Part V - Conversion; Acquisitions and Investments|Section 14-130 - "Health Insurer" Defined

    In Part V of this subtitle, “health insurer” means an insurer authorized to write health insurance.
MD. Insurance Code Ann. §  14-136 (2021)
2021 Maryland Statutes|Insurance|Title 14 - Entities That Act as Health Insurers|Subtitle 1 - Nonprofit Health Service Plans|Part VI - Prohibited Acts; Penalties|Section 14-136 - Unfair and Discriminatory Trade Practices; Other Prohibited Acts

    (a)    Nonprofit health service plans are subject to Title 27 of this article.    (b)    A corporation authorized under this subtitle that maintains or operates a nonprofit health service plan may not:        (1)    deny a claim made under a contract, certificate, or policy of a nonprofit health service plan for an unfair or unfairly discriminatory reason;        (2)    without just cause, require a person making a claim under a contract, certificate, or policy of a nonprofit health service plan to accept less than the amount due; or        (3)    fail to notify in writing a subscriber or certificate holder of a nonprofit health service plan of a denial of a properly completed claim within 60 days after the plan receives the claim.    (c)    If it appears to the Commissioner that an act or practice or proposed act or practice of a corporation authorized under this subtitle that maintains or operates a nonprofit health service plan is in violation of subsection (b) of this section or Title 27 of this article, the burden of persuasion is on the corporation to show that the act or practice or proposed act or practice is not in violation of subsection (b) of this section or Title 27 of this article.
MD. Insurance Code Ann. §  14-137 (2021)
2021 Maryland Statutes|Insurance|Title 14 - Entities That Act as Health Insurers|Subtitle 1 - Nonprofit Health Service Plans|Part VI - Prohibited Acts; Penalties|Section 14-137 - Exclusion of Coverage for Violations

    A nonprofit health service plan may not issue, renew, or deliver an individual or group contract in the State that excludes coverage for hospital or medical expenses based on a violation of:         (1)    a provision of Title 21 of the Transportation Article; or        (2)    a provision of the Natural Resources Article.
MD. Insurance Code Ann. §  14-140 (2021)
2021 Maryland Statutes|Insurance|Title 14 - Entities That Act as Health Insurers|Subtitle 1 - Nonprofit Health Service Plans|Part VI - Prohibited Acts; Penalties|Section 14-140 - Prohibited Acts; Criminal Penalties

    (a)    (1)    A person may not engage in the business of operating a nonprofit health service plan unless the person has a certificate of authority issued by the Commissioner under this subtitle.        (2)    A person that violates this subsection is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $50,000 for each violation.    (b)    (1)    A person may not:            (i)    violate a provision of this subtitle; or            (ii)    make a willfully false statement in a written document required by this subtitle to be filed with the Commissioner.        (2)    A person that violates this subsection is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $5,000 for each violation or imprisonment not exceeding 1 year or both.    (c)    A person that willfully makes a false statement while under an oath administered by the Commissioner or designee of the Commissioner at an investigation or hearing conducted by the Commissioner or designee of the Commissioner is guilty of perjury.
MD. Insurance Code Ann. §  15-1604 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part II - Registration and Regulation of Pharmacy Benefits Managers|Section 15-1604 - Registration

    (a)    A pharmacy benefits manager shall register with the Commissioner as a pharmacy benefits manager before providing pharmacy benefits management services in the State to purchasers.    (b)    An applicant for registration shall:        (1)    file with the Commissioner an application on the form that the Commissioner provides; and        (2)    pay to the Commissioner a registration fee set by the Commissioner.    (c)    The Commissioner may require any additional information or submissions from a pharmacy benefits manager that may be reasonably necessary to verify the information contained in the application.    (d)    Subject to the provisions of § 15–1607 of this part, the Commissioner shall register each pharmacy benefits manager that meets the requirements of this section.
MD. Insurance Code Ann. §  15-1605 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part II - Registration and Regulation of Pharmacy Benefits Managers|Section 15-1605 - Expiration; Renewal

    (a)    A pharmacy benefits manager registration expires on the second September 30 after its effective date unless it is renewed as provided under this section.    (b)    A pharmacy benefits manager may renew its registration for an additional 2–year term, if the pharmacy benefits manager:        (1)    otherwise is entitled to be registered;        (2)    files with the Commissioner a renewal application on the form that the Commissioner requires; and        (3)    pays to the Commissioner a renewal fee set by the Commissioner.    (c)    An application for renewal of a pharmacy benefits manager registration shall be considered made in a timely manner if it is postmarked on or before the date the pharmacy benefits manager’s registration expires.    (d)    Subject to the provisions of § 15–1607 of this part, the Commissioner shall renew the registration of each pharmacy benefits manager that meets the requirements of this section.    (e)    The Commissioner may require any additional information or submissions from a pharmacy benefits manager that may be reasonably necessary to verify the information contained in the application.
MD. Insurance Code Ann. §  15-1606 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part II - Registration and Regulation of Pharmacy Benefits Managers|Section 15-1606 - Agreements With Unregistered Pharmacy Benefits Managers Prohibited

    A purchaser may not enter into an agreement with a pharmacy benefits manager that has not registered with the Commissioner.
MD. Insurance Code Ann. §  15-1607 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part II - Registration and Regulation of Pharmacy Benefits Managers|Section 15-1607 - Denials, Suspensions, Revocations, and Refusals to Renew

    (a)    Subject to the applicable hearing provisions of Title 2 of this article, the Commissioner may deny a registration to a pharmacy benefits manager applicant or refuse to renew, suspend, or revoke the registration of a pharmacy benefits manager if the pharmacy benefits manager, or an officer, director, or employee of the pharmacy benefits manager:        (1)    makes a material misstatement or misrepresentation in an application for registration;        (2)    fraudulently or deceptively obtains or attempts to obtain a registration;        (3)    in connection with the administration of pharmacy benefits management services, commits fraud or engages in illegal or dishonest activities; or        (4)    violates any provision of this part or a regulation adopted under this part.    (b)    This section does not limit any other regulatory authority of the Commissioner under this article.
MD. Insurance Code Ann. §  15-1608 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part II - Registration and Regulation of Pharmacy Benefits Managers|Section 15-1608 - Books and Records

    A pharmacy benefits manager shall maintain adequate books and records about each purchaser for which the pharmacy benefits manager provides pharmacy benefits management services:        (1)    in accordance with prudent standards of record keeping;        (2)    for the duration of the agreement between the pharmacy benefits manager and the purchaser; and        (3)    for 3 years after the pharmacy benefits manager ceases to provide pharmacy benefits management services for the purchaser.
MD. Insurance Code Ann. §  15-1609 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part II - Registration and Regulation of Pharmacy Benefits Managers|Section 15-1609 - Examinations

    (a)    Whenever the Commissioner considers it advisable, the Commissioner may examine the affairs, transactions, accounts, and records of a registered pharmacy benefits manager.    (b)    The examination shall be conducted in accordance with § 2–207 of this article.    (c)    The expense of the examination shall be paid in accordance with § 2–208 of this article.    (d)    The reports of the examination and investigation shall be issued in accordance with § 2–209 of this article.
MD. Insurance Code Ann. §  15-1610 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part II - Registration and Regulation of Pharmacy Benefits Managers|Section 15-1610 - Delivery Through Nonresident Pharmacies

    A pharmacy benefits manager may not ship, mail, or deliver prescription drugs or devices to a person in the State through a nonresident pharmacy unless the nonresident pharmacy holds a permit issued in accordance with the provisions of § 12–403 of the Health Occupations Article.
MD. Insurance Code Ann. §  15-1611 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part II - Registration and Regulation of Pharmacy Benefits Managers|Section 15-1611 - Information on and Sales of Prescription Drugs

    (a)    A pharmacy benefits manager may not prohibit a pharmacy or pharmacist from:        (1)    providing a beneficiary with information regarding the retail price for a prescription drug or the amount of the cost share for which the beneficiary is responsible for a prescription drug;        (2)    discussing with a beneficiary information regarding the retail price for a prescription drug or the amount of the cost share for which the beneficiary is responsible for a prescription drug; or        (3)    if a more affordable drug is available than one on the purchaser’s formulary and the requirements for a therapeutic interchange under §§ 15–1633 through 15–1639 of this subtitle are met, selling the more affordable alternative to the beneficiary.    (b)    This section may not be construed to alter the requirements for a therapeutic interchange under §§ 15–1633 through 15–1639 of this subtitle.
MD. Insurance Code Ann. §  15-1611.1 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part II - Registration and Regulation of Pharmacy Benefits Managers|Section 15-1611.1 - Choice of Pharmacy by Beneficiary to Fill Prescription

    (a)    Except as provided in subsection (b) of this section, a pharmacy benefits manager may not require that a beneficiary use a specific pharmacy or entity to fill a prescription if:        (1)    the pharmacy benefits manager or a corporate affiliate of the pharmacy benefits manager has an ownership interest in the pharmacy or entity; or        (2)    the pharmacy or entity has an ownership interest in the pharmacy benefits manager or a corporate affiliate of the pharmacy benefits manager.    (b)    A pharmacy benefits manager may require a beneficiary to use a specific pharmacy or entity for a specialty drug as defined in § 15–847 of this title.
MD. Insurance Code Ann. §  15-1612 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part II - Registration and Regulation of Pharmacy Benefits Managers|Section 15-1612 - Reimbursement for Pharmaceutical Product or Pharmacist Service

    (a)    This section does not apply to reimbursement:        (1)    for specialty drugs;        (2)    for mail order drugs; or        (3)    to a chain pharmacy with more than 15 stores or a pharmacist who is an employee of the chain pharmacy.    (b)    A pharmacy benefits manager may not reimburse a pharmacy or pharmacist for a pharmaceutical product or pharmacist service in an amount less than the amount that the pharmacy benefits manager reimburses itself or an affiliate for providing the same product or service.
MD. Insurance Code Ann. §  15-1613 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part III - Pharmacy and Therapeutics Committees|Section 15-1613 - In General

    A pharmacy and therapeutics committee established by a pharmacy benefits manager shall meet the requirements of this part.
MD. Insurance Code Ann. §  15-1614 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part III - Pharmacy and Therapeutics Committees|Section 15-1614 - Composition; Conflict of Interest Statement

    (a)    (1)    A pharmacy and therapeutics committee shall:            (i)    include clinical specialists that represent the needs of a purchaser’s beneficiaries; and            (ii)    include at least one practicing pharmacist and one practicing physician who are independent of any developer or manufacturer of prescription drugs.        (2)    A majority of the members of a pharmacy and therapeutics committee shall be practicing physicians or practicing pharmacists.    (b)    Each member of a pharmacy and therapeutics committee shall sign a conflict of interest statement updated at least annually disclosing any economic interest or relationship that could influence the pharmacy and therapeutics committee’s decisions.
MD. Insurance Code Ann. §  15-1615 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part III - Pharmacy and Therapeutics Committees|Section 15-1615 - Mandatory Participation on Committee Prohibited

    A pharmacy benefits manager may not require a pharmacist to participate on its pharmacy and therapeutics committee.
MD. Insurance Code Ann. §  15-1616 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part III - Pharmacy and Therapeutics Committees|Section 15-1616 - Disclosure About Composition

    On request of a purchaser for which the pharmacy and therapeutics committee makes recommendations, a pharmacy benefits manager shall disclose information about the composition of its pharmacy and therapeutics committee to the purchaser.
MD. Insurance Code Ann. §  15-1617 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part III - Pharmacy and Therapeutics Committees|Section 15-1617 - Required Policies, Procedures, and Processes

    A pharmacy benefits manager shall ensure that its pharmacy and therapeutics committee has:        (1)    policies and procedures, including disclosure requirements, to address potential conflicts of interest that members of the pharmacy and therapeutics committee may have with developers or manufacturers of prescription drugs;        (2)    a process to evaluate medical and scientific evidence concerning the safety and effectiveness of prescription drugs, including available comparative information on clinically similar prescription drugs, when deciding what prescription drugs to recommend to include on a formulary;        (3)    a process to evaluate medical and scientific evidence concerning the safety and effectiveness of prescription drugs when recommending utilization review requirements, dose restrictions, and step therapy requirements; and        (4)    a process to enable the pharmacy and therapeutics committee to consider the need to recommend a formulary change to a purchaser in a timely manner but at least annually.
MD. Insurance Code Ann. §  15-1618 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part III - Pharmacy and Therapeutics Committees|Section 15-1618 - Accreditation

    The Commissioner may consider a pharmacy and therapeutics committee of a pharmacy benefits manager as having met the requirements of §§ 15–1614 and 15–1617 of this part if the pharmacy benefits manager has obtained accreditation from an accrediting organization approved by the Commissioner.
MD. Insurance Code Ann. §  15-1619 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part III - Pharmacy and Therapeutics Committees|Section 15-1619 - Regulations

    The Commissioner may adopt regulations to implement this part.