19 MAC Pt. 3, R. 19.23
Enforcement and administration
Cite as 19 Miss. Admin. Code Pt. 3, R. 19.23
Enforcement and administration
The Department may issue a cease-and-desist order or require a private review agent or health
insurance issuer to submit a plan of correction for violation of Miss. Code Ann. §§ 83-5-901
through 83-5-937. The Department may impose upon a private review agent, health benefit plan
or health insurance issuer an administrative fine not to exceed Ten Thousand Dollars
($10,000.00) per violation for failure to submit a requested plan of correction, failure to comply
with its plan of correction, or repeated violations of this act. All hearings related to the
enforcement and administration of this act shall be in accordance with 19 Miss. Admin. Code
Part 1, Ch. 15, as may be amended from time to time. All fines collected by the Department
under this section shall be deposited into the State General Fund.
Upon receipt of a complaint by any person or his or her treating physician who has evidence that
his or her health insurance issuer or health benefit plan is in violation of the provisions contained
in Miss. Code Ann. §§ 83-5-901 through 83-5-937, these regulations, the Department shall
review all complaints received and investigate all complaints that it deems a potential violation
in accordance with normal Department policies and procedures and in a fair, efficient ant timely
manner