Indiana Code
Chapter 7. Requirements for Group Contracts, Individual Contracts, and Evidence of Coverage
27-13-7-11. Filing of Form With Commissioner; Review Period; Approval; Withdrawal of Approval; Hearing

Sec. 11. (a) A form required by this chapter must be filed with the commissioner at least thirty (30) days before the form is:
(1) delivered; or
(2) issued for delivery;
in Indiana.
(b) At any time during the thirty (30) day period referred to in subsection (a), the commissioner may extend the period for review for an additional thirty (30) days.
(c) The commissioner must give notice in writing of an extension of a review period under subsection (b).
(d) If the commissioner does not take action on a form submitted to the commissioner within the thirty (30) day period and any period of extension, the form is considered approved.
(e) At any time after notice and for cause shown, the commissioner may withdraw approval of any form, effective thirty (30) days after notice of the withdrawal of the approval is issued.
(f) When the commissioner:
(1) disapproves a filing; or
(2) withdraws approval of a form;
under this section, the commissioner shall give the health maintenance organization written notice of the reasons for the disapproval or withdrawal of approval. The notice must inform the health maintenance organization that it may, not more than thirty (30) days after it receives the notice, request a hearing concerning the disapproval or withdrawal of approval. If the health maintenance organization requests a hearing not more than thirty (30) days after it receives the notice, the commissioner shall hold a hearing upon not less than ten (10) days notice to the health maintenance organization.
As added by P.L.26-1994, SEC.25.

Structure Indiana Code

Indiana Code

Title 27. Insurance

Article 13. Health Maintenance Organizations

Chapter 7. Requirements for Group Contracts, Individual Contracts, and Evidence of Coverage

27-13-7-0.1. Application of Certain Amendments to Chapter

27-13-7-1. Persons Entitled to Copies of Contracts

27-13-7-2. Deceptive Contract Provisions Prohibited

27-13-7-3. Contract Provisions

27-13-7-4. Compliance With Requirements; Ten Day Grace Period

27-13-7-5. Evidence of Coverage

27-13-7-6. Evidence of Coverage; Prohibited Provisions

27-13-7-7. Evidence of Coverage; Required Statement

27-13-7-7.5. Prohibition on Coverage of Abortion; Exceptions; Coverage Through Rider or Endorsement

27-13-7-7.5-b. Prohibition on Coverage of Abortion; Exceptions; Coverage Through Rider or Endorsement

27-13-7-8. Readability Standards

27-13-7-9. Approval of Forms by Commissioner

27-13-7-10. Coverage Outside Indiana; Commissioner's Approval Not Required

27-13-7-11. Filing of Form With Commissioner; Review Period; Approval; Withdrawal of Approval; Hearing

27-13-7-12. Additional Information Required by Commissioner

27-13-7-13. Continuation of Coverage Statement

27-13-7-14. Post-Mastectomy Coverage

27-13-7-14.2. "Treatment of a Mental Illness or Substance Abuse"; "Act"; "Nonqualitative Treatment Limitations"; Reporting and Analysis Requirements for Individual and Group Contracts

27-13-7-14.5. Coverage for Nonexperimental, Surgical Treatment of Morbid Obesity

27-13-7-14.7. Coverage for Autism Spectrum Disorders

27-13-7-14.8. Treatment Limitations or Financial Requirements on Coverage of Services for Mental Illness

27-13-7-15. Dental Care Provisions Required

27-13-7-15.3. Breast Cancer Screening Mammography

27-13-7-16. Prostate Specific Antigen Test

27-13-7-17. Coverage for Colorectal Cancer Screening; Exception for Grandfathered Health Plans

27-13-7-18. Inherited Metabolic Disease Coverage

27-13-7-19. Coverage for Orthotic Devices and Prosthetic Devices

27-13-7-20. Prohibition on Chemotherapy Coverage Limitations

27-13-7-20.1. Individual or Group Contract Providing Coverage for Prescription Eye Drops; Refill of Prescription Eye Drops; Requirements

27-13-7-20.2. Coverage for Care Related to Cancer Clinical Trials

27-13-7-20.4. Applicability; Coverage for Methadone for Treatment of Pain

27-13-7-21. High Breast Density

27-13-7-22. Coverage of Telehealth Services; Prohibition on Requiring Use of Specific Information Technology Application

27-13-7-23. Step Therapy Protocol

27-13-7-24. Coverage for Anatomical Gifts, Transplantation, or Related Health Care Services

27-13-7-24.5. Coverage for Chronic Pain Management

27-13-7-26. Coverage for Pediatric Neuropsychiatric Disorders

27-13-7-27. Reimbursement for Emergency Medical Services