CHAPTER 37.2. HEALTH INSURANCE EDUCATOR
IC 27-1-37.2
Chapter 37.2. Health Insurance Educator
IC 27-1-37.2-1
"Health benefit plan" defined
Sec. 1. As used in this chapter, "health benefit plan" means
coverage for health care services provided under:
(1) a policy of accident and sickness insurance (as defined in
IC 27-8-5-1);
(2) a contract with a health maintenance organization under
IC 27-13; or
(3) any other benefit program that provides payment,
reimbursement, or indemnification for the costs of health care
except:
(A) worker's compensation or similar insurance; or
(B) benefits provided under a certificate of exemption issued
by the worker's compensation board under IC 22-3-2-5.
As added by P.L.258-2001, SEC.1.
IC 27-1-37.2-2
"Health benefit plan provider" defined
Sec. 2. As used in this chapter, "health benefit plan provider"
means a person that provides coverage under a health benefit plan.
As added by P.L.258-2001, SEC.1.
IC 27-1-37.2-3
"Health insurance educator" defined
Sec. 3. As used in this chapter, "health insurance educator" refers
to the health insurance educator appointed under section 6 of this
chapter.
As added by P.L.258-2001, SEC.1.
IC 27-1-37.2-4
"Position" defined
Sec. 4. As used in this chapter, "position" means the position of
health insurance educator established under section 5 of this chapter.
As added by P.L.258-2001, SEC.1.
IC 27-1-37.2-5
Establishment of position
Sec. 5. The department shall establish the position of health
insurance educator within the department.
As added by P.L.258-2001, SEC.1.
IC 27-1-37.2-6
Qualifications
Sec. 6. The commissioner shall appoint a health insurance
educator who must possess expertise in the areas of health benefit
plans, education, and advocacy.
As added by P.L.258-2001, SEC.1.
IC 27-1-37.2-7
Contracts with nonprofit organizations
Sec. 7. The department may contract with a nonprofit organization
to provide the services required under this chapter.
As added by P.L.258-2001, SEC.1.
IC 27-1-37.2-8
Duties; prohibitions
Sec. 8. (a) The health insurance educator shall do the following:
(1) Assist health benefit plan consumers in making informed
choices regarding health benefit plans by providing information
about the following:
(A) The purchase, or enrollment in, a health benefit plan.
(B) The manner in which to resolve a dispute with a health
benefit plan.
(C) The method of filing a claim under a health benefit plan.
(D) The availability of resources useful to a health benefit
plan consumer.
(E) Consumer rights and responsibilities under a health
benefit plan.
(F) Comparative information about health benefit plans to
consumers and purchasers of health benefit plans.
(G) Other matters that may further a health benefit plan
consumer's knowledge of health insurance benefit plans.
(2) Apply to obtain funds through federal grants and any other
source. Any funds obtained shall be used to fulfill the purposes
described in subdivision (1).
(b) Notwithstanding subsection (a)(1), the health insurance
educator shall not:
(1) recommend a particular company, insurance producer, or
product; or
(2) interpret or advise an individual regarding a particular
contract or disputed claim that is subject to the federal
Employee Retirement Income Security Act (29 U.S.C. 1001 et
seq.).
As added by P.L.258-2001, SEC.1.