Sec. 9. (a) A self-insurance program must provide for appeals to a review panel to:

(1) hear complaints; and

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Terms Used In Indiana Code 20-40-12-9

  • 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.
  • Population: has the meaning set forth in Indiana Code 1-1-4-5
  • self-insurance program: means a program of self-insurance established or maintained by a governing body to provide coverage for health care services to a school corporation's employees and the employees' dependents. See Indiana Code 20-40-12-3
(2) resolve concerns;

regarding issues related to coverage, coverage discrimination, and access under the self-insurance program.

     (b) The composition of the review panel under subsection (a):

(1) must reflect the populations covered under the self-insurance program;

(2) may include a member representative of each covered population; and

(3) must maintain a balance of administration and nonadministration members.

     (c) Self-insurance program documents provided to individuals covered under the self-insurance program must specify the appeal process, including the name, address, and telephone number of the individual with whom an appeal may be filed.

[Pre-2006 Recodification Citation: 21-2-19-4.]

As added by P.L.2-2006, SEC.163.