§ 15-10A-01 Definitions
§ 15-10A-01.1 Applicability
§ 15-10A-02 Internal grievance process
§ 15-10A-02 v2 Internal grievance process
§ 15-10A-03 Review of grievance decision
§ 15-10A-04 Decisions – Final decision; notice; hearing; remedies for noncompliance
§ 15-10A-05 Independent review organizations or medical experts
§ 15-10A-06 Quarterly reports by carrier to Commissioner; annual summary report by Commissioner
§ 15-10A-07 Quarterly report to Commissioner by Health Advocacy Unit
§ 15-10A-08 Annual summary report by Health Advocacy Unit
§ 15-10A-09 Regulations; right to challenge decision resulting in nonpayment
§ 15-10A-10 Requirements of notice by carrier

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Terms Used In Maryland Code > INSURANCE > Title 15 > Subtitle 10A - Complaint Process for Adverse Decisions or Grievances

  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • including: means includes or including by way of illustration and not by way of limitation. See
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Person: includes an individual, receiver, trustee, guardian, personal representative, fiduciary, representative of any kind, corporation, partnership, business trust, statutory trust, limited liability company, firm, association, or other nongovernmental entity. See
  • state: means :

    (1) a state, possession, territory, or commonwealth of the United States; or

    (2) the District of Columbia. See