§ 27-8-11-9 — Preferred provider agreement prohibitions

(a) As used in this section, "insurer" includes
the following:
(1) An administrator licensed under IC 27-1-25.
(2) A person that pays or administers claims on behalf of an
insurer.
(b) An agreement between an insurer and a provider under this
chapter may not contain a provision that:
(1) prohibits, or grants the insurer an option to prohibit, the
provider from contracting with another insurer to accept lower
payment for health care services than the payment specified in the
agreement;
(2) requires, or grants the insurer an option to require, the
provider to accept a lower payment from the insurer if the
provider agrees with another insurer to accept lower payment for
health care services;
(3) requires, or grants the insurer an option of, termination or
renegotiation of the agreement if the provider agrees with another
insurer to accept lower payment for health care services; or
(4) requires the provider to disclose the provider's reimbursement
rates under contracts with other insurers.
(c) A provision that:
(1) is contained in an agreement between an insurer and a
provider under this chapter; and
(2) violates this section;
is void.

Legislative History

As added by P.L.74-2007, SEC.1.