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Current as of January 01, 2025 | Updated by Findlaw Staff
(a) Scope.--The department may investigate and enforce the provisions of this article only insofar as the actions or inactions being investigated relate to coverage under a health insurance policy.
(b) Insurance Commissioner power.--Upon satisfactory evidence of a violation of this article by any insurer or other person within the scope of the department's investigative and enforcement authority under subsection (a), the Insurance Commissioner may, in the Insurance Commissioner's discretion, pursue any of the following actions:
(1) Suspend, revoke or refuse to renew the license of the offending person.
(2) Enter a cease and desist order.
(3) Impose a civil penalty of not more than $5,000 for each action in violation of this article.
(4) Impose a civil penalty of not more than $10,000 for each action in willful violation of this article.
(c) Limitation.--Penalties imposed under this article shall not exceed $500,000 in the aggregate during a calender 1 year.
(d) Violations by optometrists and opthalmologists.--A violation of this article by an optometrist shall constitute unprofessional conduct under the act of June 6, 1980 (P.L. 197, No. 57), 2 known as the Optometric Practice and Licensure Act. A violation of this article by an ophthalmologist shall constitute unprofessional conduct under the act of December 20, 1985 (P.L. 457, No. 112), 3 known as the Medical Practice Act of 1985, or the act of October 5, 1978 (P.L. 1109, No. 261), 4 known as the Osteopathic Medical Practice Act.
Cite this article: FindLaw.com - Pennsylvania Statutes Title 40 P.S. Insurance § 991.2705. Enforcement - last updated January 01, 2025 | https://codes.findlaw.com/pa/title-40-ps-insurance/pa-st-sect-40-991-2705/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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