Indiana Administrative Code (Last Updated: December 20, 2016) |
Title 760. DEPARTMENT OF INSURANCE |
Article 760IAC1. GENERAL PROVISIONS |
Rule 760IAC1-59. HMO Grievance Procedures |
Section 760IAC1-59-2. Purpose
Latest version.
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The purpose of this rule is to prescribe the following for insurers and health maintenance organizations:
(1) The form for filing information with the commissioner, as required by IC 27-8-28-19 and IC 27-13-8-2(a).
(2) Requirements for notifying enrollees of grievance procedures.
(3) Requirements for filing, investigating, and resolving grievances and appeals.
(Department of Insurance; 760 IAC 1-59-2; filed Sep 30, 1998, 2:17 p.m.: 22 IR 446, eff Jan 1, 1999; filed Feb 17, 2003, 9:57 a.m.: 26 IR 2326; readopted filed Nov 24, 2009, 9:35 a.m.: 20091223-IR-760090791RFA; readopted filed Nov 20, 2015, 9:25 a.m.: 20151216-IR-760150341RFA)