MARYLAND INSURANCE ADMINISTRATION

ORIGIN & FUNCTIONS


The Maryland Insurance Administration began in 1872 as the Insurance Department under the Comptroller of the Treasury (Chapter 388, Acts of 1872). Renamed the State Insurance Department, it became an independent agency in 1878 (Chapter 106, Acts of 1878). As the Insurance Division, it moved to the Department of Licensing and Regulation in 1970 (Chapter 402, Acts of 1970). It was reorganized as the Maryland Insurance Administration, an independent agency, in 1993 (Chapter 538, Acts of 1993).

The Administration is directed by the Maryland Insurance Commissioner who ensures that all insurance laws of the State are faithfully executed. 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. The Commissioner also approves all insurance policies offered for sale in Maryland by authorized companies, authorizes rating bureaus and advisory organizations, and approves or rejects the rates for most lines of insurance. With Senate advice and consent, the Commissioner is appointed by the Governor.

Periodically, the Administration examines all companies organized under the laws of Maryland and scrutinizes nonresident companies doing business in the State. The Administration also investigates and resolves consumer complaints and questions concerning insurance companies operating in Maryland.

The Maryland Insurance Commissioner heads the Administration, and counsels and advises the Governor on all matters assigned to the Administration. The Commissioner is appointed to a four-year term by the Governor with Senate advice and consent. Subject to the Governor's approval, the Commissioner appoints the Deputy Commissioner (Code Insurance Article, secs. 2-101 through 2-408).

The Administration is organized into seven sections: Administration; Compliance and Enforcement; Consumer Complaint Investigation; Examination and Auditing; Insurance Fraud Division; Life and Health; and Property and Casualty. Within the Administration also is the Maryland Health Insurance Plan.

MARYLAND HEALTH INSURANCE PLAN
One Calvert Plaza, Suite 900
201 East Baltimore St.
Baltimore, MD 21202

The Maryland Health Insurance Plan was created in 2002 as an independent unit within the Maryland Insurance Administration (Chapter 153, Acts of 2002). The Plan provides health insurance to individuals who are deemed medically uninsurable (Code Insurance Article, secs. 14-501 through 14-515).

ADMINISTRATION

Formed in 2001, Administration consist of three units: Fiscal Services; Human Resources; and Licensing.

HUMAN RESOURCES
Human Resources started as Professional and Consumer Services and adopted its present name in 2000. The office conducts administrative services, including personnel management, training, and facility support services.

LICENSING
Created in 1997, the Licensing office licenses insurance producers and other professionals (including bail bondsmen), and reviews and approves continuing education courses. The office also conducts background investigations of applicants for agent and broker certificates of qualification, as well as of officers, directors and major stockholders of insurance companies licensed in Maryland. The office verifies that agents and brokers meet continuing education requirements. For Maryland residents applying for licenses in other states, Licensing issues letters of certification or clearance.

COMPLIANCE & ENFORCEMENT SECTION

The Compliance and Enforcement Section was formed in 2002 when the Agent Enforcement and Market Conduct Examination units of the Life and Health Section merged with those of the Property and Casualty Section.

The Section monitors the behavior of insurance companies in Maryland by reviewing sales practices, advertising and materials, underwriting practices, claims processing, and nonforfeiture values. The Section also investigates insurance producers and other unauthorized entities for compliance with insurance laws and regulations.

CONSUMER COMPLAINT INVESTIGATION SECTION

In September 1997, the Consumer Complaint Investigation Section was formed by merging the Inquiry and Investigation units of the Life and Health Section and the Property and Casualty Section. The Consumer Complaint Investigation Section investigates and resolves complaints made by insurance policyholders, claimants, and beneficiaries. The Section also provides insurance information to the public.

The Section works through three units: Appeals and Grievances; Life and Health; and Property and Casualty.

EXAMINATION & AUDITING SECTION

The Examination and Auditing Section licenses all insurance companies conducting business in Maryland. It conducts financial examinations of licensed insurers as often as the Commissioner deems advisable, but at least every five years. In addition, the Section performs audits of the annual statements and quarterly and annual premium tax reports of insurers.

Under the Section are Company Licensing, Financial Analysis, Financial Examination, and Premium Tax.

INSURANCE FRAUD DIVISION

The Insurance Fraud Division was established as a unit within the Department of Licensing and Regulation in 1992 by the Governor (Executive Order 01.01.1992.24). The unit transferred to the Office of the Governor in 1993 (Chapter 538, Acts of 1993; Executive Order 01.01.1994.16). In July 1995, the unit became part of the Maryland Insurance Administration.

In cooperation with the Department of State Police and the Office of the Attorney General, the Unit investigates and prosecutes individuals who commit insurance fraud.

LIFE & HEALTH SECTION

The Life and Health Section reviews every life, health and dental insurance policy used in Maryland. The Section also reviews each annuity contract and each health maintenance organization (HMO) subscriber and provider contract used in Maryland. To ensure that premium rates are not excessive, inadequate, or discriminatory, the Section reviews initial rate filings by insurers.

Under the Section are four units: Administration; Managed Care; Medical Director and Private Review Agent Oversight; and Rates and Forms Review.

PROPERTY & CASUALTY SECTION

The Property and Casualty Section reviews policy forms for property, casualty, surety, mortgage guaranty and title insurance used in Maryland. The Section reviews rate filings to ensure the fairness of premium rates. The Section also reviews nonfinancial activities of property and casualty insurers.

The Section oversees two units: Administration; and Rates and Forms Review.

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