CHAPTER 16. INSURANCE CLAIM FORM NOTICE

IC 27-2-16

    

Chapter 16. Insurance Claim Form Notice

IC 27-2-16-1

Supplemental construction of chapter

    

Sec. 1. This chapter is supplemental to IC 27-1.

As added by P.L.193-1991, SEC.1.

IC 27-2-16-2

"Insurer" defined

    

Sec. 2. As used in this chapter, "insurer" has the meaning set forth
in IC 27-1-2-3(x).

As added by P.L.193-1991, SEC.1.

IC 27-2-16-3

Claim forms; statement of false claim constituting fraud; effect of
absence of statement

    

Sec. 3. (a) All preprinted claim forms provided by an insurer to a
claimant that are required as a condition of payment of a claim must
contain a statement that clearly states in substance the following:

        "A person who knowingly and with intent to defraud an insurer
files a statement of claim containing any false, incomplete, or
misleading information commits a felony.".

    (b) The lack of a statement required under subsection (a) does not
constitute a defense against a prosecution under IC 35-43-5-4.5.

As added by P.L.193-1991, SEC.1. Amended by P.L.181-2005,
SEC.1.

IC 27-2-16-4

Identification cards and benefit booklets; utilization review
determination clause

    

Sec. 4. An insurer shall include on each identification card and on
all benefit booklets that are delivered to an enrollee (as defined in
IC 27-8-17-3) whose policy requires a utilization review
determination (as defined in IC 27-8-17-8) a printed statement in
boldface 8 point type in the benefit booklets and in 6 point type on
the identification cards that reads substantially as follows:

        "NOTICE: Precertification or preauthorization does NOT
guarantee coverage for or the payment of the service or
procedure reviewed.".

As added by P.L.132-1994, SEC.1.