{"data":{"id":"us-in/ic-27-13-9-7","jurisdiction":"us-in","citation":"IC 27-13-9-7","heading":"Electronic data base requirements; rulemaking authority","body":"Sec. 7. (a) The electronic data base by which a health maintenance organization or by which a third party administrator of benefits and health care services offered under a health maintenance organization contract allows an enrollee or a provider to verify an enrollee's coverage or benefits under a health maintenance organization contract must include the following information for each enrollee:\n(1) Whether benefits and health care services under the health maintenance organization contract are provided by:\n(A) the health maintenance organization; or\n(B) a third party administrator.\n(2) Whether the health maintenance organization contract is a self-funded or fully-funded plan.\n(b) The department shall adopt rules under IC 4-22-2 to ensure compliance with this section.","path":["TITLE 27. INSURANCE","ARTICLE 13. HEALTH MAINTENANCE ORGANIZATIONS","Chapter 9. Information to Enrollees or Subscribers"],"source_url":"https://iga.in.gov/ic/2026/Title_27.html#27-13-9-7","current_through":"2026","vintage":"2026","retrieved_at":"2026-09-25T05:39:04Z","sha256":"3dde9e2e5adcf54c1566b34b2f15225465c5ebf54502e4f74a5538f34f9af29b","source_id":"us-in","stale":false,"prev":"us-in/ic-27-13-9-6","next":"us-in/ic-27-13-10-1"},"notice":"GroundRules: Original legal text. Not legal advice."}