Indiana § 27-13-34-11 Modification of documents; filing; disapproval

Indiana Statutes

§ 27-13-34-11 — Modification of documents; filing; disapproval

Indiana § 27-13-34-11

Title 27INSURANCE

Art. 13HEALTH MAINTENANCE ORGANIZATIONS

Ch. 34Limited Service Health Maintenance Organizations

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Bluebook

Ind. Code § 27-13-34-11 (2026).

Text

(a)Before making any material modification of any matter or document furnished under section 8 of this chapter, a limited service health maintenance organization shall file with the commissioner:

(1)a notice of the modification; and

(2)supporting documents that are necessary to fully explain the modification.

(b)If a limited service health maintenance organization desires to add one (1) or more limited health services, it must:

(1)file a notice with the commissioner;

(2)submit the information required by section 8 of this chapter concerning each limited health service to be added, if that information is different from the information filed with the application of the limited service health maintenance organization; and

(3)demonstrate compliance with sections 16, 17, 18, and 23 of th

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(a) Before making any material
modification of any matter or document furnished under section 8 of
this chapter, a limited service health maintenance organization shall
file with the commissioner:
(1) a notice of the modification; and
(2) supporting documents that are necessary to fully explain the
modification.
(b) If a limited service health maintenance organization desires to
add one (1) or more limited health services, it must:
(1) file a notice with the commissioner;
(2) submit the information required by section 8 of this chapter
concerning each limited health service to be added, if that
information is different from the information filed with the
application of the limited service health maintenance
organization; and
(3) demonstrate compliance with sections 16, 17, 18, and 23 of
this chapter with respect to each limited health service to be
added by the organization.
(c) If the commissioner does not disapprove a filing under
subsection (a) or (b) within thirty (30) days after the commissioner
receives the filing, or within any period of extension granted by the
commissioner, the filing shall be deemed approved.
(d) If a filing under subsection (a) or (b) is disapproved, the
commissioner shall:
(1) notify the limited service health maintenance organization of
the disapproval of the filing in writing deposited in the United
States mail addressed to the limited service health maintenance
organization; and
(2) specify the reasons for disapproval of the filing in the notice.
(e) Within thirty (30) days after it receives a notice of disapproval
under subsection (d), the limited service health maintenance
organization may request a hearing before the commissioner under IC 4-21.5 concerning the disapproval of the filing. If, not more than thirty
(30) days after receiving the notice from the commissioner, the limited
service health maintenance organization requests a hearing, the
commissioner shall hold a hearing upon not less than ten (10) days
notice to the limited service health maintenance organization.