CHAPTER 23. EXAMINATIONS

IC 27-13-23
     Chapter 23. Examinations

IC 27-13-23-1
Health maintenance organization examination
    
Sec. 1. The commissioner may make an examination of a health maintenance organization whenever necessary for the protection of the interests of the citizens of Indiana. However, an examination of a health maintenance organization domiciled in Indiana must be conducted at least once every three (3) years.
As added by P.L.26-1994, SEC.25.

IC 27-13-23-2
Quality management program examination
    
Sec. 2. The commissioner may make an examination concerning the quality management program of a health maintenance organization whenever necessary for the protection of the citizens of Indiana. However, an examination of the quality management program of a health maintenance organization domiciled in Indiana must be conducted at least once every three (3) years.
As added by P.L.26-1994, SEC.25.

IC 27-13-23-3
Availability of books and records
    
Sec. 3. Each health maintenance organization that is subject to an examination under this chapter shall make its books and records, and the books and records in its custody or control, available for examination and otherwise facilitate the completion of the examination.
As added by P.L.26-1994, SEC.25.

IC 27-13-23-4
Officers and agents; oaths and examination by commissioner
    
Sec. 4. When conducting an examination of a health maintenance organization, the commissioner:
        (1) may administer oaths to; and
        (2) examine;
the officers and agents of the health maintenance organization concerning the business of the organization.
As added by P.L.26-1994, SEC.25.

IC 27-13-23-5
Expenses of examination
    
Sec. 5. The expenses incurred by the commissioner in conducting an examination under this chapter must be paid by the health maintenance organization being examined.
As added by P.L.26-1994, SEC.25.

IC 27-13-23-6
Health maintenance organizations outside Indiana; reports of

other insurance commissioners
    
Sec. 6. Instead of conducting an examination of a health maintenance organization that is not domiciled in Indiana, the commissioner may accept the report of an examination made by the insurance commissioner of another state if the other state is accredited by the National Association of Insurance Commissioners.
As added by P.L.26-1994, SEC.25.

IC 27-13-23-7
Annual review of HEDIS data
    
Sec. 7. (a) Beginning July 1, 1999, the commissioner shall review each health maintenance organization's Health Plan Employer Data and Information Set (HEDIS) data on an annual basis.
    (b) The commissioner may contract with an appropriate entity to conduct the reviews required under this section.
As added by P.L.69-1998, SEC.9.

IC 27-13-23-8
Filing examination reports of other states
    
Sec. 8. A health maintenance organization shall file a copy of any examination report filed by the insurance commissioner of another state during the preceding calendar year with the annual statement required under IC 27-13-8-1.
As added by P.L.203-2001, SEC.29.