PocketLaw | Indiana Code | Health Maintenance Organizations

Health Maintenance Organizations

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Definitions

Establishment of Health Maintenance Organizations

Issuance of Certificates of Authority

Powers of Health Maintenance Organizations

Fiduciary Responsibilities

Quality Management Programs

Requirements for Group Contracts, Individual Contracts, and Evidence of Coverage

Annual Report

Information to Enrollees or Subscribers

Grievance Procedures

External Review of Grievances

Investments

Protection Against Insolvency; Net Worth Requirements

Protection Against Insolvency; Deposit Requirements

Protection Against Insolvency; Liabilities

Participating Providers; Contracts and Legal Actions

Repealed

Protection Against Insolvency; Notice of Termination

Repealed

Replacement Coverage in Event of Receivership

Filing Requirements

Insurance Producers of Health Maintenance Organizations and Limited Service Health Maintenance Organizations

Powers of Insurers and Hospital Corporations

Examinations

Suspension, Revocation, or Denial of Certificate of Authority

Rehabilitation or Liquidation of Health Maintenance Organizations

Summary of Orders and Supervision

Fees

Penalties and Enforcement

Statutory Construction and Relationship to Other Laws

Filings and Reports as Public Documents

Confidentiality of Medical Information and Limitation of Liability

Transfers of Ownership

Voluntary Dissolution

Coordination of Benefits

Limited Service Health Maintenance Organizations

General Rulemaking Authority

Patient Protection; Clinical Decision Making; Access to Personnel and Facilities

Provider Payment

Patient Protection; Choice of Health Care Professional

Mail Order and Internet Pharmacy Designation

Patient Protection; Drugs and Devices; Drug Utilization Review Program

Patient Protection; Experimental Treatments

Patient Protection; Health Maintenance Organization Comparison Sheets

Claims

Specific Reporting Requirements

Credentialing