Sec. 14. (a) A covered individual may file a grievance orally or in writing.
(b) An insurer shall make available to covered individuals a toll free telephone number through which a grievance may be filed. The toll free telephone number must:
(1) be staffed by a qualified representative of the insurer;
(2) be available for at least forty (40) hours per week during normal business hours; and
(3) accept grievances in the languages of the major population groups served by the insurer.
(c) A grievance is considered to be filed on the first date it is received, either by telephone or in writing.
As added by P.L.66-2001, SEC.2 and P.L.203-2001, SEC.13.
Structure Indiana Code
Article 8. Life, Accident, and Health
Chapter 28. Internal Grievance Procedures
27-8-28-1. "Accident and Sickness Insurance Policy"
27-8-28-3. "Covered Individual"
27-8-28-5. "External Grievance"
27-8-28-7. "Grievance Procedure"
27-8-28-10. Grievance Procedure to Comply With Chapter Requirements
27-8-28-11. Commissioner May Examine Procedure
27-8-28-13. Notice of Grievance Related Information
27-8-28-14. Filing Grievance; Toll Free Number
27-8-28-15. Assistance in Filing Grievance; Designation of Representative
27-8-28-16. Policies and Procedures for Timely Resolution of Grievances
27-8-28-18. Insurer Prohibited From Taking Action
27-8-28-19. Grievance Procedure Filing; Complaint Analysis and Reporting