Sec. 21. (a) An insurer shall each year file with the commissioner a description of the grievance procedure established by the insurer under this chapter, including:
(1) the total number of external grievances handled through the procedure during the preceding calendar year;
(2) a compilation of the causes underlying those grievances; and
(3) a summary of the final disposition of those grievances;
for each independent review organization used by the insurer during the reporting year.
(b) The information required by subsection (a) must be filed with the commissioner on or before March 1 of each year. The commissioner shall:
(1) make the information required to be filed under this section available to the public; and
(2) prepare an annual compilation of the data required under subsection (a) that allows for comparative analysis.
(c) The commissioner may require any additional reports that are necessary and appropriate for the commissioner to carry out the commissioner's duties under this article.
As added by P.L.66-2001, SEC.3 and P.L.203-2001, SEC.14. Amended by P.L.1-2002, SEC.122.
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