CHAPTER 25. REHABILITATION OR LIQUIDATION OF HEALTH MAINTENANCE ORGANIZATIONS

IC 27-13-25

    

Chapter 25. Rehabilitation or Liquidation of Health Maintenance
Organizations

IC 27-13-25-1

Rehabilitation or liquidation as an insurance company;
applicability of IC 27-9

    

Sec. 1. The rehabilitation or liquidation of a health maintenance
organization:

        (1) shall be considered to be the rehabilitation or liquidation of
an insurance company; and

        (2) shall be conducted under IC 27-9.

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

IC 27-13-25-2

Appointment of commissioner as rehabilitator or liquidator;
grounds

    

Sec. 2. The commissioner may apply for an order appointing the
commissioner as rehabilitator or liquidator to rehabilitate or liquidate
a health maintenance organization:

        (1) upon at least one (1) of the grounds set forth in IC 27-9-3-1
or IC 27-9-3-6; or

        (2) when, in the commissioner's opinion, the continued
operation of the health maintenance organization would be
hazardous to the enrollees of the organization or the people of
Indiana.

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

IC 27-13-25-3

Claims against health maintenance organization

    

Sec. 3. (a) In the liquidation of a health maintenance organization,
the claims against the health maintenance organization by enrollees,
beneficiaries, and providers qualify as class 3 claims under
IC 27-9-3-40(3).

    (b) If an enrollee is liable to a provider for services provided
under and covered by a health maintenance organization, that
liability has the status of an enrollee claim in the liquidation of a
health maintenance organization. If the health maintenance
organization in liquidation pays the provider the amount of a claim
under this subsection, then the claim of the enrollee is extinguished.

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