State Regulations Flashcards
General Powers of the Commissioner
Appointed by the governor, serves a four year term, and is responsible for the administration and enforcement of the Maryland Code and COMAR through licensing process
Commissioners powers
approve licensing applications, certificates of qualifications and certificates of authority
renew, non-renew, suspend and revoke licenses
investigate complaints related to violation of the Code or COMAR conducting hearings and making requests to the Attorney Generals Office for prosecution
assess fines against violators of the insurance code and regulations
regulate and monitor rates, rating plans and forms to ensure fairness
collect fees
The Commissioner of Insurance enforces regulations to protect consumers in the following ways
regulating title insurance companies, insurers and producers
investigating consumer complaints related to insurance
conducting audits of insurance companies to ensure solvency
conducting examinations to ensure compliance with Maryland’s insurance laws
investigating acts of insurance fraud
reviewing and approving rates and contracts forms
An insurer may not
appoint, employ or receive business from an individual unless that person is licensed
To appoint a producer as an agent
the appointing insured must notify the Commission of the appointment
All insurers authorized to transact insurance must maintain
a producer register of appointed producers
A licensed insurance producer who has been appointed by an insurer must
maintain documentation of the insurers that have been appointed to the producer
The producer registry must be
updated within 30 dats of an appointment
Law firms that have been appointed as a principal agent must
be included in the producer registered maintained by the insurers
Title insurance producers must report
any final adverse administrative action or felony convictions within 30 days of final disposition to the Commissioner
Insurers are required every 31 days to check on
whether any disciplinary actions has been taken against their agents
How many days of notice is required to the producer of an anticipated termination
15 day notice
The regulation of trade practices in insurance in Maryland are
in accordance with McCarran-Ferguson Act
What is misrepresentation
leading someone to believe that there is a benefit to an insurance contract that doesn’t exist
Misrepresentation - false advertising
a deceptive practice to publish false information when advertising insurance services
Misrepresentation - twisting
when an insured misrepresents the benefits, terms, and conditions of one policy to induce the consumer to forfeit, surrender, drop or allow existing coverage to lapse in order to purchase new coverage
Misrepresentation - Premium Rebating
when an insurer producer pays or gives something of value as an inducement to enter into an insurance contract or after the insurance has become effective
An insurance producer may not knowingly pay or give as an inducement:
a premium rebate
a special favor or advantage in benefits of a policy
paid employment or a contract for services
anything of value
Promotional items and marketing materials valued at less than
$50 may be offered
Gift cards, prizes, raffle tickets and any other items of value
may not be offered as an incentive to entice consumers to enroll in an insurance plan
What are kickbacks
an unauthorized payment or fee given to someone for a favor for the referral of settlement business
Examples of kickbacks
payments, commissions, gifts, tangible item, special privileges
Defamation
when an insurance producer makes an oral or written statement that is false and malicious about a person engaged in the insurance business
Unfair discrimination occurs when
an insurer limits coverage to an insurance applicant because of race, sex, color, creed or national origin, age, handicap, residence or occupation