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Indiana Statutes, Title 27

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Indiana/Statutes

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Title 27, INSURANCE

344 chapters · 3,652 sections in this title.

All chapters in Title 273,652 Ch 1, Department Created215 Ch 2, Application of Article; Definitions199 Ch 3, General Powers and Duties of the Dep…199 Ch 4, Prohibited Activities106 Ch 6, Formation of Domestic Companies100 Ch 10, Voluntary Dissolution99 Ch 5, Classification of Insurance97 Ch 9, Merger, Consolidation, and Reinsurance97 Ch 8, Procedures for Amending Articles of …96 Ch 12, Life Insurance Company Powers and Po…92 Ch 7, General Corporate Powers and Respons…84 Ch 36, Risk Based Capital Requirements75 Ch 15, Participating Providers; Contracts a…68 Ch 13, Casualty, Fire, and Marine Insurance…66

62 sections·Filtered byTitle 27✕Ch 28✕

Ind. Code § 27-8-28-5 "External grievance"
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Sec. 5. As used in this chapter, "external grievance" means the independent review under IC 27-8-29 of a grievance filed under this chapter. As added by P.L.66-2001, SEC.2 and P.L.203-2001, SEC.13.
Ind. Code § 27-8-28-6 "Grievance"
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Sec. 6. As used in this chapter, "grievance" means any dissatisfaction expressed by or on behalf of a covered individual regarding: (1) a determination that a service or proposed service is not appropriate or medically necessary; (2) a determination that a service or proposed ser…
Ind. Code § 27-8-28-7 "Grievance procedure"
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Sec. 7. As used in this chapter, "grievance procedure" means a written procedure established and maintained by an insurer for filing, investigating, and resolving grievances and appeals. As added by P.L.66-2001, SEC.2 and P.L.203-2001, SEC.13.
Ind. Code § 27-8-28-8 "Insured"
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Sec. 8. As used in this chapter, "insured" means: (1) an individual whose employment status or other status except family dependency is the basis for coverage under a group accident and sickness insurance policy; or (2) in the case of an individual accident and sickness insurance…

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Ind. Code § 27-8-28-9 "Insurer"

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Sec. 9. As used in this chapter, "insurer" means any person who delivers or issues for delivery an accident and sickness insurance policy or certificate in Indiana. As added by P.L.66-2001, SEC.2 and P.L.203-2001, SEC.13.

Ind. Code § 27-13-28-1 Augmentation of penalty; damages suffered by enrollees or other members of the public

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Sec. 1. The commissioner may augment a penalty imposed under IC 27-13-24-1(b) by an amount equal to the sum that the commissioner calculates to be the damages suffered by enrollees or other members of the public. The commissioner may direct that any penalty imposed under this sec…

Ind. Code § 27-13-28-2 Conference to determine violations

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Sec. 2. If the commissioner has cause to believe that a violation of this article by a health maintenance organization has occurred or is threatened, the commissioner may give notice to: (1) the health maintenance organization; and (2) the other persons who appear to be involved …

Ind. Code § 27-13-28-3 Procedural requirements

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Sec. 3. Proceedings under section 2 of this chapter are not governed by any formal procedural requirements and may be conducted in a manner the commissioner considers appropriate under the circumstances. However, a conference under section 2 of this chapter may not result in a ru…

Ind. Code § 27-13-28-4 Cease and desist orders

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Sec. 4. (a) The commissioner may issue an order directing: (1) a health maintenance organization; or (2) a representative of a health maintenance organization; to cease and desist from engaging in any act or practice that violates this article. (b) Within ten (10) days after a ce…

Ind. Code § 27-13-28-5 Injunctive or other relief

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Sec. 5. In the case of a violation of this article, if the commissioner elects not to issue a cease and desist order, or in the event of noncompliance with a cease and desist order issued under section 4 of this chapter, the commissioner may institute a proceeding to obtain injun…

Ind. Code § 27-13-28-6 Failure to comply with net worth requirements; continued operation

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Sec. 6. Notwithstanding any other provision of this article, if a health maintenance organization fails to comply with the net worth requirement of this article, the commissioner may take appropriate action to assure that the continued operation of the health maintenance organiza…

Ind. Code § 27-13-28-7 Investigations on behalf of enrollees or providers not precluded

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Sec. 7. This article does not preclude the department from investigating complaints, grievances, or appeals on behalf of enrollees or providers. As added by P.L.69-1998, SEC.11.