Md. Code Regs. 14.09.06.04

Current through Register Vol. 51, No. 24, December 2, 2024

Section 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, §9-733(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.

Md. Code Regs. 14.09.06.04

Regulation .04 adopted effective 41:4 Md. R. 303, eff.3/3/2014 ; amended effective 48:20 Md. R. 890, eff. 10/18/2021