CHAPTER 25. REHABILITATION OR LIQUIDATION OF HEALTH MAINTENANCE ORGANIZATIONS
IC 27-13-25
Chapter 25. Rehabilitation or Liquidation of Health Maintenance
Organizations
IC 27-13-25-1
Rehabilitation or liquidation as an insurance company;
applicability of IC 27-9
Sec. 1. The rehabilitation or liquidation of a health maintenance
organization:
(1) shall be considered to be the rehabilitation or liquidation of
an insurance company; and
(2) shall be conducted under IC 27-9.
As added by P.L.26-1994, SEC.25.
IC 27-13-25-2
Appointment of commissioner as rehabilitator or liquidator;
grounds
Sec. 2. The commissioner may apply for an order appointing the
commissioner as rehabilitator or liquidator to rehabilitate or liquidate
a health maintenance organization:
(1) upon at least one (1) of the grounds set forth in IC 27-9-3-1
or IC 27-9-3-6; or
(2) when, in the commissioner's opinion, the continued
operation of the health maintenance organization would be
hazardous to the enrollees of the organization or the people of
Indiana.
As added by P.L.26-1994, SEC.25.
IC 27-13-25-3
Claims against health maintenance organization
Sec. 3. (a) In the liquidation of a health maintenance organization,
the claims against the health maintenance organization by enrollees,
beneficiaries, and providers qualify as class 3 claims under
IC 27-9-3-40(3).
(b) If an enrollee is liable to a provider for services provided
under and covered by a health maintenance organization, that
liability has the status of an enrollee claim in the liquidation of a
health maintenance organization. If the health maintenance
organization in liquidation pays the provider the amount of a claim
under this subsection, then the claim of the enrollee is extinguished.
As added by P.L.26-1994, SEC.25.