Indiana § 27-13-19-2 Replacement coverage; challenge of enrollee

Indiana Statutes

§ 27-13-19-2 — Replacement coverage; challenge of enrollee

Indiana·Title 27 INSURANCE·Art. 13 HEALTH MAINTENANCE ORGANIZATIONS·Ch. 19 Replacement Coverage in Event of Receivership

(a)A carrier that provides replacement coverage with respect to group health care services after the discontinuance of the prior health maintenance organization contract or policy providing health care services must, immediately upon beginning to provide the replacement coverage, cover all enrollees who were covered under the previous health maintenance organization contract or policy on the date of discontinuance.

(b)A carrier that provides replacement coverage under this section may challenge whether an individual designated as an enrollee under the previous health maintenance organization contract qualified as an enrollee under the previous health maintenance organization contract.

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(a) A carrier that provides replacement
coverage with respect to group health care services after the
discontinuance of the prior health maintenance organization contract
or policy providing health care services must, immediately upon
beginning to provide the replacement coverage, cover all enrollees who
were covered under the previous health maintenance organization
contract or policy on the date of discontinuance.
(b) A carrier that provides replacement coverage under this section
may challenge whether an individual designated as an enrollee under
the previous health maintenance organization contract qualified as an
enrollee under the previous health maintenance organization contract.

Indiana § 27-13-19-2 (Replacement coverage; challenge of enrollee) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.