Indiana Code 27-8-28-14. Filing grievance; toll free number
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Sec. 14. (a) A covered individual may file a grievance orally or in writing.
(1) be staffed by a qualified representative of the insurer;
(b) An insurer shall make available to covered individuals a toll free telephone number through which a grievance may be filed. The toll free telephone number must:
Terms Used In Indiana Code 27-8-28-14
- covered individual: means an individual who is covered under an accident and sickness insurance policy. See Indiana Code 27-8-28-3
- grievance: means any dissatisfaction expressed by or on behalf of a covered individual regarding:
Indiana Code 27-8-28-6
- in writing: include printing, lithographing, or other mode of representing words and letters. See Indiana Code 1-1-4-5
- insurer: means any person who delivers or issues for delivery an accident and sickness insurance policy or certificate in Indiana. See Indiana Code 27-8-28-9
- Population: has the meaning set forth in Ind. See Indiana Code 1-1-4-5
(2) be available for at least forty (40) hours per week during normal business hours; and
(3) accept grievances in the languages of the major population groups served by the insurer.
(c) A grievance is considered to be filed on the first date it is received, either by telephone or in writing.
As added by P.L.66-2001, SEC.2 and P.L.203-2001, SEC.13.