§ 27-8-28-1 “Accident and sickness insurance policy”
§ 27-8-28-2 “Commissioner”
§ 27-8-28-3 “Covered individual”
§ 27-8-28-4 “Department”
§ 27-8-28-5 “External grievance”
§ 27-8-28-6 “Grievance”
§ 27-8-28-7 “Grievance procedure”
§ 27-8-28-8 “Insured”
§ 27-8-28-9 “Insurer”
§ 27-8-28-10 Grievance procedure to comply with chapter requirements
§ 27-8-28-11 Commissioner may examine procedure
§ 27-8-28-12 Grievance records
§ 27-8-28-13 Notice of grievance related information
§ 27-8-28-14 Filing grievance; toll free number
§ 27-8-28-15 Assistance in filing grievance; designation of representative
§ 27-8-28-16 Policies and procedures for timely resolution of grievances
§ 27-8-28-17 Policies and procedures for timely resolution of appeals of grievance decisions; filing of report for violation
§ 27-8-28-18 Insurer prohibited from taking action
§ 27-8-28-19 Grievance procedure filing; complaint analysis and reporting
§ 27-8-28-20 Adoption of rules
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Terms Used In Indiana Code > Title 27 > Article 8 > Chapter 28 - Internal Grievance Procedures

  • accident and sickness insurance policy: means an insurance policy that provides one (1) or more of the kinds of insurance described in Class 1(b) and 2(a) of IC 27-1-5-1. See Indiana Code 27-8-28-1
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • commissioner: refers to the insurance commissioner appointed under IC 27-1-1-2. See Indiana Code 27-8-28-2
  • covered individual: means an individual who is covered under an accident and sickness insurance policy. See Indiana Code 27-8-28-3
  • department: refers to the department of insurance. See Indiana Code 27-8-28-4
  • external grievance: means the independent review under IC 27-8-29 of a grievance filed under this chapter. See Indiana Code 27-8-28-5
  • grievance: means any dissatisfaction expressed by or on behalf of a covered individual regarding:

    Indiana Code 27-8-28-6

  • grievance procedure: means a written procedure established and maintained by an insurer for filing, investigating, and resolving grievances and appeals. See Indiana Code 27-8-28-7
  • in writing: include printing, lithographing, or other mode of representing words and letters. See Indiana Code 1-1-4-5
  • insured: means :

    Indiana Code 27-8-28-8

  • 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 Indiana Code 1-1-4-5
  • Year: means a calendar year, unless otherwise expressed. See Indiana Code 1-1-4-5