§ 27-13-8-3 — Annual Statement Blank; quarterly reports

Indiana § 27-13-8-3

• Jurisdiction: Indiana
• Title 27: INSURANCE
• Art. 13: HEALTH MAINTENANCE ORGANIZATIONS
• Ch. 8: Annual Report

Text

(a) This section applies to a domestic health
maintenance organization that is authorized to transact business in
Indiana.
(b) On or before March 1 of each year, a health maintenance
organization shall file with the NAIC and with the department a copy
of the health maintenance organization's Annual Statement Blank and
additional filings prescribed by the commissioner for the preceding
year. A health maintenance organization shall also file quarterly
statements with the NAIC and with the department, on or before May
15, August 15, and November 15 of each year, in a form prescribed by
the commissioner. The information filed with the NAIC under this
subsection:
(1) must be:
(A) in the same format; and
(B) of the same scope;
as is required by the commissioner under section 1 of this chapter;
(2) to the extent required by the NAIC, must include the signed
jurat page and the actuarial certification; and
(3) must be filed electronically in accordance with NAIC
electronic filing specifications.
The commissioner may, for good cause shown, grant an exemption
from the requirement of this section to domestic health maintenance
organizations that operate only in Indiana. If a health maintenance
organization files any amendment or addendum to the health
maintenance organization's Annual Statement Blank or quarterly
statement with the commissioner, the health maintenance organization
shall also file a copy of the amendment or addendum with the NAIC.
Annual Statement Blanks and quarterly financial statements are
considered filed with the NAIC when delivered to the address
designated by the NAIC for the filings, regardless of whether the filing
is accompanied by any applicable fee.
(c) The commissioner may, for good cause shown, grant a health
maintenance organization an extension of time for the filing required
by subsection (b).
(d) In the absence of actual malice:
(1) members of the NAIC;
(2) duly authorized committees, subcommittees, and task forces
of members of the NAIC;
(3) delegates of members of the NAIC;
(4) employees of the NAIC; and
(5) other persons responsible for collecting, reviewing, analyzing,
and disseminating information developed from the filing of
Annual Statement Blanks under this section;
shall be considered to be acting as agents of the commissioner under
the authority of this section and are not subject to civil liability for
libel, slander, or any other cause of action by virtue of the collection,
review, analysis, or dissemination of the data and information collected
from the filings required by this section.
(e) The commissioner may suspend, revoke, or refuse to renew the
certificate of authority of a health maintenance organization that fails
to file the health maintenance organization's Annual Statement Blank
or quarterly statements with the NAIC or with the department within
the time allowed by subsection (b) or (c).

Legislative History

As added by P.L.203-2001, SEC.22. Amended by P.L.124-2018, SEC.93.