CHAPTER 14. PROTECTION AGAINST INSOLVENCY; LIABILITIES
IC 27-13-14
Chapter 14. Protection Against Insolvency; Liabilities
IC 27-13-14-1
Determination of liabilities
Sec. 1. When determining its liabilities, a health maintenance
organization shall include an amount estimated in the aggregate to
provide:
(1) for any unearned premium;
(2) for the payment of all claims for health care expenditures,
whether reported or unreported:
(A) that have been incurred;
(B) that are unpaid; and
(C) for which the organization is or may be liable; and
(3) for the expense of adjustment or settlement of claims
described in subdivision (2).
As added by P.L.26-1994, SEC.25.
IC 27-13-14-2
Computation of liabilities
Sec. 2. The liabilities of a health maintenance organization must
be computed:
(1) in accordance with rules adopted by the commissioner; and
(2) upon reasonable consideration of the ascertained experience
and character of the health maintenance organization.
As added by P.L.26-1994, SEC.25.