Md. Code Regs. 14.09.06.04 - Termination of Temporary Total Disability and Medical Benefits
A. Termination of
Monetary Benefits Requiring Notice.
(1) Prior
to terminating payment of temporary total disability benefits, an insurer shall
give written notice to the claimant by:
(a)
Completing the insurer's termination of temporary total disability benefits
form; and
(b) Sending a copy of the
form to the claimant, counsel and to the Commission.
(2) The insurer's termination of temporary
total disability benefits form may be used to provide notice to the claimant of
the termination of disability benefits when:
(a) The employee is working for another
employer other than the employer where the accident or occupational disease
occurred;
(b) No medical evidence
supports continued payment;
(c) The
employee failed to appear for a medical evaluation requested by the
employer/insurer;
(d) A physician
other than the employee's chosen treating physician has determined that the
employee has reached maximum medical improvement; or
(e) Otherwise supported by law.
B. Termination of
Monetary Benefits - No Notice Required. An insurer may terminate payment of
temporary total disability benefits without providing written notice, pursuant
to Labor & Employment Article, ยง9-733(a), Annotated Code of Maryland,
if:
(1) The employee has returned to his or
her current employment;
(2) A
treating physician chosen by the employee has advised that the employee has
reached maximum medical improvement; or
(3) The termination is made after the
termination date contained in an order of the Commission.
C. Termination of Medical Benefits.
(1) Prior to terminating the payment of
medical benefits, an insurer shall give written notice to the claimant and the
claimant's treating physician or health care provider of the date that benefits
will be terminated.
(2) Written
notice of the date that medical benefits will be terminated shall include a
statement that the claimant has the right to request a hearing before the
Commission on the issue of termination.
(3) A copy of the termination notice provided
to the claimant shall be filed with the
Commission.
Notes
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