Indiana Code 27-1-37.1-1. “Health maintenance organization”
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Terms Used In Indiana Code 27-1-37.1-1
- 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 27-1-37.1-1
- person: means an individual, an agency, a political subdivision, a partnership, a corporation, an association, or any other entity that enters into a health provider contract with a provider. See Indiana Code 27-1-37.1-3
Sec. 1. 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.196-2001, SEC.1.