Failure to comply; penalties

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  • (a) Any health care provider or recognized health insurer who willfully violate the provisions of this chapter shall be subject to the following penalties:

    • (1) A health care provider or recognized health insurer who intentionally or negligently fails to comply with the provisions of this chapter shall be fined by the Commissioner not less than 100% of the disputed amount nor more than five thousand dollars ($5,000.00) for each violation.

    • (2) The Commissioner shall forward to the appropriate governing board the name of any health care provider who has been cited by the Commissioner for a second violation of this chapter. Upon referral the governing board may suspend the license of the health care provider for a violation of this chapter.

  • (b) Any insurer that fails to comply with the provisions of this chapter shall be subjected to the penalty set forth in subsection (a) above for each violation and may be subject to the provisions of section 212 of this title.


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