{"data":{"id":"us-in/ic-27-8-10-2.6","jurisdiction":"us-in","citation":"IC 27-8-10-2.6","heading":"Member and health care provider grievances","body":"Sec. 2.6. (a) If a:\n(1) member is aggrieved by an act of the association; or\n(2) health care provider is aggrieved by an act of the association with respect to reimbursement to the provider under an association policy;\nthe member or health care provider shall, not more than ninety (90) days after the act occurs, appeal to the board of directors for review of the act.\n(b) If:\n(1) within thirty (30) days after an appeal is filed under subsection (a), the board of directors has not acted on the appeal; or\n(2) a member or health care provider is aggrieved by a final action or decision of the board of directors;\nthe member or health care provider may appeal to the commissioner.\n(c) An appeal to the commissioner under subsection (b) must be filed less than thirty (30) days after the:\n(1) expiration of the thirty (30) day period specified in subsection (b)(1); or\n(2) action or decision specified in subsection (b)(2).\n(d) The commissioner shall, not more than forty-five (45) days after an appeal is filed under subsection (c), take a final action or issue an order regarding the appeal.\n(e) A final action or order of the commissioner on an appeal filed under this section is subject to judicial review.\n(f) If a member or health care provider sues the association, the court shall not award to the member or health care provider:\n(1) attorney's fees or costs; or\n(2) punitive damages.","path":["TITLE 27. INSURANCE","ARTICLE 8. LIFE, ACCIDENT, AND HEALTH","Chapter 10. Comprehensive Health Insurance"],"source_url":"https://iga.in.gov/ic/2026/Title_27.html#27-8-10-2.6","current_through":"2026","vintage":"2026","retrieved_at":"2026-09-25T05:39:04Z","sha256":"3d2dfb406ac0c5aaa47cd17eb09a5f732d2b40286a11b531ff2a549f5006e576","source_id":"us-in","stale":false,"prev":"us-in/ic-27-8-10-2.5","next":"us-in/ic-27-8-10-3"},"notice":"GroundRules: Original legal text. Not legal advice."}