Indiana Code 27-1-37-2. “Health maintenance organization” defined
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Terms Used In Indiana Code 27-1-37-2
- affiliate: means any person who, directly or indirectly through one (1) or more intermediaries, controls, is controlled by, or is under common control with, the person to whom affiliation is attributed. See Indiana Code 27-1-37-0.2
- Contract: A legal written agreement that becomes binding when signed.
- health maintenance organization: means a person that undertakes to provide or arrange for the delivery of health care services to individuals on a prepaid basis, except for the individual's responsibility for copayments or deductibles. See Indiana Code 27-1-37-2
- person: means an individual, an agency, a political subdivision, a partnership, a corporation, an association, or any other entity. See Indiana Code 27-1-37-4
Sec. 2. As used in this chapter, “health maintenance organization” means a person that undertakes to provide or arrange for the delivery of health care services to individuals on a prepaid basis, except for the individual’s responsibility for copayments or deductibles. The term includes a limited service health maintenance organization. The term does not include a staff-model health maintenance organization that employs a group of providers and that requires the providers to provide health care services solely to individuals who are entitled to coverage under a contract with the staff-model health maintenance organization or an affiliate of the staff-model health maintenance organization.
As added by P.L.197-2001, SEC.1.