CHAPTER 14. PROTECTION AGAINST INSOLVENCY; LIABILITIES

IC 27-13-14

    

Chapter 14. Protection Against Insolvency; Liabilities

IC 27-13-14-1

Determination of liabilities

    

Sec. 1. When determining its liabilities, a health maintenance
organization shall include an amount estimated in the aggregate to
provide:

        (1) for any unearned premium;

        (2) for the payment of all claims for health care expenditures,
whether reported or unreported:

            (A) that have been incurred;

            (B) that are unpaid; and

            (C) for which the organization is or may be liable; and

        (3) for the expense of adjustment or settlement of claims
described in subdivision (2).

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

IC 27-13-14-2

Computation of liabilities

    

Sec. 2. The liabilities of a health maintenance organization must
be computed:

        (1) in accordance with rules adopted by the commissioner; and

        (2) upon reasonable consideration of the ascertained experience
and character of the health maintenance organization.

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