§ 27-13-7-11 — Filing of form with commissioner; review period; approval; withdrawal of approval; hearing

Indiana § 27-13-7-11

• Jurisdiction: Indiana
• Title 27: INSURANCE
• Art. 13: HEALTH MAINTENANCE ORGANIZATIONS
• Ch. 7: Requirements for Group Contracts, Individual Contracts,

Text

(a) A form required by this chapter must be
filed with the commissioner at least thirty (30) days before the form is:
(1) delivered; or
(2) issued for delivery;
in Indiana.
(b) At any time during the thirty (30) day period referred to in
subsection (a), the commissioner may extend the period for review for
an additional thirty (30) days.
(c) The commissioner must give notice in writing of an extension of
a review period under subsection (b).
(d) If the commissioner does not take action on a form submitted to
the commissioner within the thirty (30) day period and any period of
extension, the form is considered approved.
(e) At any time after notice and for cause shown, the commissioner
may withdraw approval of any form, effective thirty (30) days after
notice of the withdrawal of the approval is issued.
(f) When the commissioner:
(1) disapproves a filing; or
(2) withdraws approval of a form;
under this section, the commissioner shall give the health maintenance
organization written notice of the reasons for the disapproval or
withdrawal of approval. The notice must inform the health maintenance
organization that it may, not more than thirty (30) days after it receives
the notice, request a hearing concerning the disapproval or withdrawal
of approval. If the health maintenance organization requests a hearing
not more than thirty (30) days after it receives the notice, the
commissioner shall hold a hearing upon not less than ten (10) days
notice to the health maintenance organization.

Legislative History

As added by P.L.26-1994, SEC.25.