IC 27-13 – Health Maintenance Organizations | Midpage

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Indiana Code

13

IC 27-13

Health Maintenance Organizations

1Definitions 2Establishment of Health Maintenance Organizations 3Issuance of Certificates of Authority 4Powers of Health Maintenance Organizations 5Fiduciary Responsibilities 6Quality Management Programs 7Requirements for Group Contracts, Individual Contracts, and Evidence of Coverage 8Annual Report 9Information to Enrollees or Subscribers 10Grievance Procedures 10.1External Review of Grievances 11Investments 12Protection Against Insolvency; Net Worth Requirements 13Protection Against Insolvency; Deposit Requirements 14Protection Against Insolvency; Liabilities 15Participating Providers; Contracts and Legal Actions 16Repealed 17Protection Against Insolvency; Notice of Termination 18Repealed 19Replacement Coverage in Event of Receivership 20Filing Requirements 21Insurance Producers of Health Maintenance Organizations and Limited Service Health Maintenance Organizations 22Powers of Insurers and Hospital Corporations 23Examinations 24Suspension, Revocation, or Denial of Certificate of Authority 25Rehabilitation or Liquidation of Health Maintenance Organizations 26Summary of Orders and Supervision 27Fees 28Penalties and Enforcement 29Statutory Construction and Relationship to Other Laws 30Filings and Reports as Public Documents 31Confidentiality of Medical Information and Limitation of Liability 32Transfers of Ownership 32.5Voluntary Dissolution 33Coordination of Benefits 34Limited Service Health Maintenance Organizations 35General Rulemaking Authority 36Patient Protection; Clinical Decision Making; Access to Personnel and Facilities 36.2Provider Payment 37Patient Protection; Choice of Health Care Professional 37.5Mail Order and Internet Pharmacy Designation 38Patient Protection; Drugs and Devices; Drug Utilization Review Program 39Patient Protection; Experimental Treatments 40Patient Protection; Health Maintenance Organization Comparison Sheets 41Claims 42Specific Reporting Requirements 43Credentialing