Indiana § 27-8-10-2.6 Member and health care provider grievances

Indiana Statutes

§ 27-8-10-2.6 — Member and health care provider grievances

Indiana § 27-8-10-2.6

Title 27INSURANCE

Art. 8LIFE, ACCIDENT, AND HEALTH

Ch. 10Comprehensive Health Insurance

This text of Indiana § 27-8-10-2.6 (Member and health care provider grievances) is published on Counsel Stack Legal Research, covering Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Ind. Code § 27-8-10-2.6 (2026).

Text

6.

(a)If a:

(1)member is aggrieved by an act of the association; or

(2)health care provider is aggrieved by an act of the association with respect to reimbursement to the provider under an association policy; the member or health care provider shall, not more than ninety (90) days after the act occurs, appeal to the board of directors for review of the act.

(b)If:

(1)within thirty (30) days after an appeal is filed under subsection

(a), the board of directors has not acted on the appeal; or

(2)a member or health care provider is aggrieved by a final action or decision of the board of directors; the member or health care provider may appeal to the commissioner.

(c)An appeal to the commissioner under subsection (b) must be filed less than thirty (30) days after the:

(1)expiration of

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6. (a) If a:
(1) member is aggrieved by an act of the association; or
(2) health care provider is aggrieved by an act of the association
with respect to reimbursement to the provider under an
association policy;
the member or health care provider shall, not more than ninety (90)
days after the act occurs, appeal to the board of directors for review of
the act.
(b) If:
(1) within thirty (30) days after an appeal is filed under subsection
(a), the board of directors has not acted on the appeal; or
(2) a member or health care provider is aggrieved by a final action
or decision of the board of directors;
the member or health care provider may appeal to the commissioner.
(c) An appeal to the commissioner under subsection (b) must be
filed less than thirty (30) days after the:
(1) expiration of the thirty (30) day period specified in subsection
(b)(1); or
(2) action or decision specified in subsection (b)(2).
(d) The commissioner shall, not more than forty-five (45) days after
an appeal is filed under subsection (c), take a final action or issue an
order regarding the appeal.
(e) A final action or order of the commissioner on an appeal filed
under this section is subject to judicial review.
(f) If a member or health care provider sues the association, the
court shall not award to the member or health care provider:
(1) attorney's fees or costs; or
(2) punitive damages.