§ 27-8-28-13 — Notice of grievance related information

Indiana § 27-8-28-13

• Jurisdiction: Indiana
• Title 27: INSURANCE
• Art. 8: LIFE, ACCIDENT, AND HEALTH
• Ch. 28: Internal Grievance Procedures

Text

(a) An insurer shall provide, at the request
of the insured, covered individual, or legal representative of the insured
or covered individual, and upon policy issuance, at each policy
renewal, and with any notice of denial of a claim, timely, adequate, and
appropriate notice to each insured, covered individual, or legal
representative, of:
(1) the grievance procedure required under this chapter;
(2) the external grievance procedure required under IC 27-8-29;
(3) information on how to file:
(A) a grievance under this chapter; and
(B) a request for an external grievance review under IC 27-8-29;
(4) a toll free telephone number through which a covered
individual may contact the insurer at no cost to the covered
individual to obtain information and to file grievances; and
(5) the address for the Internet web site established by the
department under IC 27-1-3-33.
(b) An insurer shall prominently display on all notices to covered
individuals the toll free telephone number and the address at which a
grievance or request for external grievance review may be filed.

Legislative History

As added by P.L.66-2001, SEC.2 and P.L.203-2001, SEC.13. Amended by P.L.18-2016, SEC.2.