Sec. 1. A health maintenance organization or limited service health maintenance organization shall establish and maintain a grievance procedure for the resolution of grievances initiated by enrollees and subscribers of the organization. The grievance procedure of a health maintenance organization or limited service health maintenance organization must be approved by the commissioner.
As added by P.L.26-1994, SEC.25. Amended by P.L.191-1997, SEC.4.
Structure Indiana Code
Article 13. Health Maintenance Organizations
Chapter 10. Grievance Procedures
27-13-10-1. Establishment of Procedures
27-13-10-2. Examination by Commissioner
27-13-10-3. Records of Grievances
27-13-10-4. Notice of Grievance Related Information
27-13-10-5. Filing; Oral or Written Grievance; Telephone Number; Date
27-13-10-6. Filing; Procedures; Representative
27-13-10-7. Resolution of Grievances
27-13-10-8. Appeals of Grievance Decisions; Filing of Report for Violation
27-13-10-11. Action Against Provider Representing Enrollee or Subscriber