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IN THE MATTER OF THE * BEFORE THE MARYLAND INSURANCE COMMISSIONER * STATE OF MARYLAND INSURANCE * v

IN THE MATTER OF THE * BEFORE THE MARYLAND INSURANCE COMMISSIONER * STATE OF MARYLAND INSURANCE * v 2025

IN THE MATTER OF THE * BEFORE THE MARYLAND INSURANCE COMMISSIONER * STATE OF MARYLAND INSURANCE * v Preview on Page 1

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The document is a Consent Order issued by the Maryland Insurance Commissioner regarding Coventry Health Care of Delaware, Inc. It follows an investigation into the company's marketing practices, specifically concerning misrepresentations in their Benefits Summaries related to out-of-network reimbursements. The Order mandates that Coventry correct these violations within 120 days and pay a $25,000 administrative penalty. The document outlines the findings of fact, legal violations, and the terms agreed upon by both parties to resolve the matter.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the purpose of the Maryland insurance administration?

Protect Maryland consumers by regulating the states insurance companies and producers. Investigate complaints consumers have about their insurance coverage, including, but not limited to, life, health, automobile, and homeowners. License insurance companies and producers operating in Maryland.

What does the Maryland insurance commissioner do?

The Commissioner authorizes and licenses insurance companies, producers, adjusters, and advisors for fire, casualty, life, accident, health, title, bail bonds, and other insurance and annuities.

What is the purpose of the life and health insurance guaranty?

The California Life and Health Insurance Guarantee Association provides LIMITED PROTECTION of your life, health, and annuity benefits if, at the time your insurance company becomes insolvent, you are a California resident policyholder, or if you are the beneficiary, assignee, or payee of such policyholder regardless of

What protects policyholders from an insurers insolvency?

Many insurance products are covered by state insurance guaranty associations. These guaranty associations provide a partial guarantee to insurance policyholders that they will continue to have their claims paid in the event that their insurer is declared insolvent.

Who does the Maryland Life and health Guaranty Corporation protect in the event of insurer insolvency?

The statutory purpose of the Corporation is to protect Maryland resident policyholders against an insurers failure to fulfill its contractual obligations.

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What does the guaranty association protect against?

Insurance guaranty associations provide protection to insurance policyholders and beneficiaries of policies issued by an insurance company that has become insolvent and is no longer able to meet its obligations. All states, the District of Columbia, and Puerto Rico have insurance guaranty associations.

Who regulates insurance in Maryland?

The primary role of the Maryland Insurance Administration (MIA) is to protect consumers from illegal insurance practices by ensuring that insurers and producers that operate in Maryland act in ance with State insurance laws.

What does the Maryland Life and Health Insurance Guaranty Corporation protect in the event of insurer insolvency?

The Life and Health Insurance Guaranty Corporation (LHIGC) was created by the Maryland General Assembly in 1980 to protect Maryland residents who are policyholders and beneficiaries of policies issued by an insolvent insurance company, up to specified limits.

IN THE MATTER OF THE * BEFORE THE MARYLAND INSURANCE COMMISSIONER * STATE OF MARYLAND INSURANCE * v 2025

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What is the purpose of the Maryland insurance administration?

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What does the guaranty association protect against?

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