Indiana Code 27-1-37.2-8. Duties; prohibitions
(1) Assist health benefit plan consumers in making informed choices regarding health benefit plans by providing information about the following:
Terms Used In Indiana Code 27-1-37.2-8
- Contract: A legal written agreement that becomes binding when signed.
- health benefit plan: means coverage for health care services provided under:
Indiana Code 27-1-37.2-1
- health insurance educator: refers to the health insurance educator appointed under section 6 of this chapter. See Indiana Code 27-1-37.2-3
- Insurance: means a contract of insurance or an agreement by which one (1) party, for a consideration, promises to pay money or its equivalent or to do an act valuable to the insured upon the destruction, loss or injury of something in which the other party has a pecuniary interest, or in consideration of a price paid, adequate to the risk, becomes security to the other against loss by certain specified risks; to grant indemnity or security against loss for a consideration. See Indiana Code 27-1-2-3
(B) The manner in which to resolve a dispute with a health benefit plan.
(C) The method of filing a claim under a health benefit plan.
(D) The availability of resources useful to a health benefit plan consumer.
(E) Consumer rights and responsibilities under a health benefit plan.
(F) Comparative information about health benefit plans to consumers and purchasers of health benefit plans.
(G) Other matters that may further a health benefit plan consumer’s knowledge of health insurance benefit plans.
(2) Apply to obtain funds through federal grants and any other source. Any funds obtained shall be used to fulfill the purposes described in subdivision (1).
(b) Notwithstanding subsection (a)(1), the health insurance educator shall not:
(1) recommend a particular company, insurance producer, or product; or
(2) interpret or advise an individual regarding a particular contract or disputed claim that is subject to the federal Employee Retirement Income Security Act (29 U.S.C. § 1001 et seq.).
As added by P.L.258-2001, SEC.1.