Sec. 15.5. Upon the request of a covered individual who is notified under section 15(d) of this chapter that the independent review organization has made a determination, the independent review organization shall provide to the covered individual all information reasonably necessary to enable the covered individual to understand the:
(1) effect of the determination on the covered individual; and
(2) manner in which the insurer may be expected to respond to the determination.
As added by P.L.173-2007, SEC.42.
Structure Indiana Code
Article 8. Life, Accident, and Health
Chapter 29. External Review of Grievances
27-8-29-1. "Accident and Sickness Insurance Policy" Defined
27-8-29-3. "Commissioner" Defined
27-8-29-4. "Covered Individual" Defined
27-8-29-5. "Department" Defined
27-8-29-6. "External Grievance" Defined
27-8-29-7. "Grievance" Defined
27-8-29-8. "Grievance Procedure" Defined
27-8-29-9. "Health Care Provider" Defined
27-8-29-12. Insurer to Establish External Grievance Procedures
27-8-29-13. Requirements for External Grievance Procedure; Independent Review Organizations
27-8-29-14. Rights of Individuals Who File Grievances
27-8-29-15. Independent Review Organizations; Determinations
27-8-29-15.5. Information From Independent Review Organization
27-8-29-16. Binding Determinations
27-8-29-17. Reconsideration of Resolution by Insurer
27-8-29-18. Applicability of Chapter
27-8-29-19. Annual Certifications of Independent Review Organizations
27-8-29-20. Documents of Review Organizations
27-8-29-21. Filing Description of Grievance Procedure
27-8-29-22. Immunity From Civil Liability; Work Product or Determination