CHAPTER 22. POWERS OF INSURERS AND HOSPITAL CORPORATIONS

IC 27-13-22

    

Chapter 22. Powers of Insurers and Hospital Corporations

IC 27-13-22-1

Operation of health maintenance organization by insurer or
hospital

    

Sec. 1. (a) A licensed insurer or a hospital authorized to conduct
business in Indiana may, through a subsidiary or an affiliate, organize
and operate a health maintenance organization under this article.

    (b) This section does not apply to a health maintenance
organization granted a certificate of authority under this article
before July 1, 2001.

As added by P.L.26-1994, SEC.25. Amended by P.L.203-2001,
SEC.28.

IC 27-13-22-2

Joint organization or operation as health maintenance
organization

    

Sec. 2. Notwithstanding any other law:

        (1) insurers;

        (2) hospitals; or

        (3) subsidiaries or affiliates of entities referred to in
subdivisions (1) and (2);

may jointly organize and operate a health maintenance organization.

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

IC 27-13-22-3

Business of insurance including health care maintenance
organizations

    

Sec. 3. For the purposes of IC 27-1-2-2, the business of insurance
includes the providing of health care services by a health care
maintenance organization owned or operated by an insurer or a
subsidiary of an insurer.

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

IC 27-13-22-4

Contracting with health maintenance organizations to provide
insurance coverage

    

Sec. 4. An insurer or a hospital may contract with a health
maintenance organization to provide to the health maintenance
organization:

        (1) insurance coverage or similar protection against the cost of
health care services provided through the health maintenance
organization; or

        (2) insurance coverage in the event of the failure of the health
maintenance organization to meet its obligations to enrollees or
providers.

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

IC 27-13-22-5

Benefit payments to health maintenance organization; contract
provisions

    

Sec. 5. Under a contract between an insurer or a hospital and a
health maintenance organization under section 4 of this chapter, the
insurer or hospital may make benefit payments to the health
maintenance organization for health care services for which the
health maintenance organization is liable.

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