State Codes and Statutes
Statutes > Indiana > Title27 > Ar13 > Ch3
IC 27-13-3
Chapter 3. Issuance of Certificates of Authority
IC 27-13-3-1
Satisfaction of requirements
Sec. 1. After receiving a completed application, the commissioner
shall issue a certificate of authority to operate a health maintenance
organization to the applicant if:
(1) the application fee is received by the commissioner; and
(2) the commissioner is satisfied that the following
requirements are met:
(A) The persons responsible for the conduct of the affairs of
the applicant are competent, trustworthy, and have good
reputations.
(B) The health maintenance organization will effectively
provide or arrange for the provision of the health care
services covered in the health maintenance organization's
individual and group contracts on a prepaid basis, through
insurance or other means, except to the extent of reasonable
requirements for copayments and deductibles.
(C) The health maintenance organization complies with
IC 27-13-12 through IC 27-13-19.
As added by P.L.26-1994, SEC.25.
IC 27-13-3-1.5
Approval of certificate of authority
Sec. 1.5. (a) Except as provided in subsection (b), a completed
application for a certificate of authority is considered approved one
hundred twenty (120) days after the completed application is
submitted to the commissioner.
(b) If the commissioner issues an order under IC 27-13-24-3(b)
within one hundred twenty (120) days after a completed application
is submitted under subsection (a), the review and processing of the
application are subject to IC 27-13-24-3 and IC 27-13-24-4.
As added by P.L.195-1996, SEC.4.
IC 27-13-3-2
Denial of application
Sec. 2. An application for a certificate of authority may be denied
only after the commissioner complies with the requirements set forth
in IC 27-13-24.
As added by P.L.26-1994, SEC.25.
