Sec. 3. (a) A health maintenance organization shall notify an enrollee in writing of the termination of:
(1) the provider who currently provides primary health care services to that enrollee;
(2) any other participating provider seen by the enrollee during the previous year; and
(3) a hospital.
(b) After the termination of the provider who provided primary health care services to an enrollee, the health maintenance organization shall assist the enrollee in transferring to another participating primary care provider.
(c) If a health maintenance organization notifies an enrollee of the termination of a hospital, the notice must include the names of all participating providers employed by the hospital.
As added by P.L.26-1994, SEC.25. Amended by P.L.133-1999, SEC.3; P.L.196-2001, SEC.2.
Structure Indiana Code
Article 13. Health Maintenance Organizations
Chapter 9. Information to Enrollees or Subscribers
27-13-9-2. Notice of Change in Operation of Health Maintenance Organization
27-13-9-3. Termination of Provider
27-13-9-4. Information on Services and Filing Grievances; Telephone Number
27-13-9-5. Prescription Drug Information Card
27-13-9-6. "Health Plan Information Card"; Indication of Benefits and Health Care Services
27-13-9-7. Electronic Data Base Requirements; Rulemaking Authority