Maryland Code § IN-27-805

Section IN-27-805
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(a) In this section, "claim form" means any document supplied by an insurer
to a claimant that a claimant is required to complete and submit in support of a claim
for benefits.
(b) (1) Except as provided in subsection (c) of this section, all
applications for insurance and all claim forms, regardless of the form of transmission,
shall contain the following statement or a substantially similar statement:
"Any person who knowingly or willfully presents a false or fraudulent claim for
payment of a loss or benefit or who knowingly or willfully presents false information
in an application for insurance is guilty of a crime and may be subject to fines and
confinement in prison."
(2) The lack of the statement required by paragraph (1) of this
subsection does not constitute a defense in any legal proceeding.
(c) Subsection (b)(1) of this section does not apply to:
(1) reinsurance applications or claim forms; or

(2) the uniform claims form for reimbursement of hospital services or
the uniform claims form for reimbursement of health care practitioners services
adopted by the Commissioner under § 15-1003 of this article.

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