Sec. 31.10.48.05. Use of Noncompliant Contract or Amendment  


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  • A. If a PBM uses a contract or amendment which becomes effective and the contract or amendment is subsequently found by the Commissioner to be noncompliant, the Commissioner may:

    (1) Issue an order that:

    (a) Gives notice of the disapproval;

    (b) States a reason for the disapproval; and

    (c) States the effective date of the disapproval in the notice; and

    (2) Impose a penalty as provided under Insurance Article, §15-1642, Annotated Code of Maryland.

    B. An order under this regulation is subject to a hearing under Insurance Article, §2-210, Annotated Code of Maryland.

    C. A request for a hearing under this regulation does not stay that portion of the order that requires a PBM to cease and desist from the conduct identified in the order.