Sec. 14. (a) A covered individual may file a grievance orally or in writing.

Ask an insurance law question, get an answer ASAP!
Click here to chat with a lawyer about your rights.

Terms Used In Indiana Code 27-8-28-14

  • covered individual: means an individual who is covered under an accident and sickness insurance policy. See Indiana Code 27-8-28-3
  • grievance: means any dissatisfaction expressed by or on behalf of a covered individual regarding:

    Indiana Code 27-8-28-6

  • in writing: include printing, lithographing, or other mode of representing words and letters. See Indiana Code 1-1-4-5
  • 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
     (b) An insurer shall make available to covered individuals a toll free telephone number through which a grievance may be filed. The toll free telephone number must:

(1) be staffed by a qualified representative of the insurer;

(2) be available for at least forty (40) hours per week during normal business hours; and

(3) accept grievances in the languages of the major population groups served by the insurer.

     (c) A grievance is considered to be filed on the first date it is received, either by telephone or in writing.

As added by P.L.66-2001, SEC.2 and P.L.203-2001, SEC.13.