§ 27-13-10-4 — Notice of grievance related information

Indiana § 27-13-10-4

• Jurisdiction: Indiana
• Title 27: INSURANCE
• Art. 13: HEALTH MAINTENANCE ORGANIZATIONS
• Ch. 10: Grievance Procedures

Text

(a) A health maintenance organization shall
provide, at the request of the enrollee, subscriber, or legal
representative of the enrollee or subscriber, and upon contract issuance,
at each contract renewal, and with any notice of denial of a claim,
timely, adequate, and appropriate notice to each enrollee, subscriber,
or legal representative, of:
(1) the grievance procedure under this chapter and IC 27-13-10.1;
(2) information on how to file:
(A) a grievance under this chapter; and
(B) a request for an external grievance review under IC 27-13-10.1; and
(3) the address for the Internet web site established by the
department under IC 27-1-3-33.
(b) A health maintenance organization shall prominently display on
all notices to enrollees and subscribers the telephone number and
address at which a grievance may be filed.
(c) A written description of the enrollee's or subscriber's right to file
a grievance must be posted by the provider in a conspicuous public
location in each facility that offers services on behalf of a health
maintenance organization.

Legislative History

As added by P.L.191-1997, SEC.6. Amended by P.L.133-1999, SEC.5; P.L.18-2016, SEC.5.