A. An insurer that provides workers' compensation insurance in Maryland shall have in the State competent individuals who:
- (1) Handle and adjust each disputed workers' compensation claim for the insurer;
- (2) Have authority to resolve claims without having to routinely contact an out-of-State representative of the insurer; and
- (3) Possess the knowledge and experience to handle and adjust each disputed claim.
B. If an insurer files issues to dispute a claim, the filing shall be done in the State by competent individuals who:
- (1) Handle and adjust each disputed workers' compensation claim for the insurer;
- (2) Have authority to resolve claims without having to routinely contact an out-of-State representative of the insurer; and
- (3) Possess the knowledge and experience to handle and adjust each disputed claim.
- C. Within 10 days of an insurer filing issues to dispute a claim, the insurer shall have an attorney complete and file an entry of appearance form in accordance with COMAR 14.09.04.01C(2).
- D. Each insurer shall register with the Commission the contact information for a designated representative who can identify the competent individual handling and adjusting each disputed claim.
- E. Upon inquiry, the designated individual shall provide the name, address, telephone number, and email address of the competent individual handling and adjusting a claim within 2 business days.
- F. If any of the information in §D of this regulation changes, the insurer shall notify the Commission immediately.
- G. An insurer that provides workers' compensation insurance in Maryland shall establish a toll-free telephone number through which an insured or claimant, or a representative of an insured or claimant, may make direct telephone inquiries during regular business hours.
- H. An insurer that provides workers’ compensation insurance in Maryland shall register with CompHub to file and receive papers with the Commission.
Authority: Insurance Article, §19-406; Labor and Employment Article, §§9-309, 9-404, 9-405, 9-409, 9-410, and 9-744; Annotated Code of Maryland
Effective date: March 3, 2014 (41:4 Md. R. 303)
Regulation .02 amended effective October 18, 2021 (48:21 Md. R. 890)
Regulation .02A amended effective March 12, 2018 (45:5 Md. R. 288)
Regulation .02B amended effective January 7, 2016 (42:26 Md. R. 1596)
Regulation .02D amended effective February 24, 2020 (47:4 Md. R. 263)
Regulation .03A, B amended effective March 12, 2018 (45:5 Md. R. 288)
Regulation .03C, D amended effective October 18, 2021 (48:21 Md. R. 890)
Regulation .03H adopted effective October 18, 2021 (48:21 Md. R. 890)
Regulation .07 amended effective October 18, 2021 (48:21 Md. R. 890)
Regulation .08 adopted effective October 18, 2021 (48:21 Md. R. 890)