Indiana § 27-13-34-26 Complaints; records

Indiana Statutes

§ 27-13-34-26 — Complaints; records

Indiana § 27-13-34-26

Title 27INSURANCE

Art. 13HEALTH MAINTENANCE ORGANIZATIONS

Ch. 34Limited Service Health Maintenance Organizations

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Bluebook

Ind. Code § 27-13-34-26 (2026).

Text

(a)The department shall maintain records concerning complaints filed against a limited service health maintenance organization that provides dental care services.

(b)The department shall classify complaints described in subsection

(a)in categories according to the NAIC standardized complaint report procedures or standardized complaint report procedures established by the department in rules adopted under IC 4-22-2.

(c)The department shall classify the disposition of complaints in each category by:

(1)number of complaints for which corrective action is considered necessary by the department; and

(2)number of complaints classified by NAIC disposition codes or standardized disposition codes established by the department in rules adopted under IC 4-22-2.

(d)The department shall make inf

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(a) The department shall maintain records
concerning complaints filed against a limited service health
maintenance organization that provides dental care services.
(b) The department shall classify complaints described in subsection
(a) in categories according to the NAIC standardized complaint report
procedures or standardized complaint report procedures established by
the department in rules adopted under IC 4-22-2.
(c) The department shall classify the disposition of complaints in
each category by:
(1) number of complaints for which corrective action is
considered necessary by the department; and
(2) number of complaints classified by NAIC disposition codes or
standardized disposition codes established by the department in
rules adopted under IC 4-22-2.
(d) The department shall make information specified in this section
available to the public in a form that does not identify any specific
individual.
(e) A limited service health maintenance organization that provides
dental care services may not take any retaliatory action, including
cancellation or refusal to renew a participating provider contract,
individual contract, or group contract, solely because a participating
provider, enrollee, or individual or group contract holder files a
complaint against the limited service health maintenance organization.