Indiana § 27-13-15-3 Actions against subscribers; costs and attorney's fees

Indiana Statutes

§ 27-13-15-3 — Actions against subscribers; costs and attorney's fees

Indiana·Title 27 INSURANCE·Art. 13 HEALTH MAINTENANCE ORGANIZATIONS·Ch. 15 Participating Providers; Contracts and Legal Actions

(a)A:

(1)participating provider; or

(2)trustee, an agent, a representative, or an assignee of a participating provider; may not bring or maintain any legal action against a subscriber or an enrollee of a health maintenance organization to collect sums owed by the health maintenance organization.

(b)Except as provided in subsection (c), if a participating provider of a health maintenance organization brings or maintains a legal action against a subscriber or enrollee for an amount owed to the participating provider by the health maintenance organization, the participating provider is liable to the subscriber or enrollee for costs and attorney's fees incurred by the subscriber or enrollee in defending the legal action.

(c)A participating provider shall not be liable to the subscriber or

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(a) A:
(1) participating provider; or
(2) trustee, an agent, a representative, or an assignee of a
participating provider;
may not bring or maintain any legal action against a subscriber or an
enrollee of a health maintenance organization to collect sums owed by
the health maintenance organization.
(b) Except as provided in subsection (c), if a participating provider
of a health maintenance organization brings or maintains a legal action
against a subscriber or enrollee for an amount owed to the participating
provider by the health maintenance organization, the participating
provider is liable to the subscriber or enrollee for costs and attorney's
fees incurred by the subscriber or enrollee in defending the legal
action.
(c) A participating provider shall not be liable to the subscriber or
enrollee for costs and attorney's fees described in subsection (b) if the
participating provider can demonstrate a reasonable basis for believing
at the time the legal action was brought and while the legal action was
maintained that the health maintenance organization did not owe the
sums the participating provider sought to collect from the subscriber or
enrollee.

Indiana § 27-13-15-3 (Actions against subscribers; costs and attorney's fees) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.