"Grievance"

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Sec. 15. "Grievance" means a written complaint submitted in accordance with the formal grievance procedure of a health maintenance organization by or on behalf of:

(1) the enrollee or subscriber regarding any aspect of the health maintenance organization relative to the enrollee or subscriber; or

(2) an individual who would be an enrollee or a subscriber under an individual contract or a group contract regarding the health maintenance organization's decision to rescind the individual contract or group contract.

As added by P.L.26-1994, SEC.25. Amended by P.L.160-2011, SEC.26.


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