2006 Indiana Code - CHAPTER 19. SELF-INSURANCE PROGRAMS
IC 21-2-19Chapter 19. Self-Insurance Programs
IC 21-2-19-1
"Health care services"
Sec. 1. As used in this chapter, "health care services" has the
meaning set forth in IC 27-8-11-1.
As added by P.L.1-2005, SEC.37.
IC 21-2-19-2
"Self-insurance program"
Sec. 2. As used in this chapter, "self-insurance program" means
a program of self-insurance established or maintained by a governing
body to provide coverage for health care services to a school
corporation's employees and the employees' dependents.
As added by P.L.1-2005, SEC.37.
IC 21-2-19-3
Compliance with chapter required
Sec. 3. Subject to IC 20-26-5-4(15) and IC 21-2-5.6 and
notwithstanding any other law, a self-insurance program must
comply with this chapter.
As added by P.L.1-2005, SEC.37.
IC 21-2-19-4
Review panel; appeal process
Sec. 4. (a) A self-insurance program must provide for appeals to
a review panel to:
(1) hear complaints; and
(2) resolve concerns;
regarding issues related to coverage, coverage discrimination, and
access under the self-insurance program.
(b) The composition of the review panel under subsection (a):
(1) must reflect the populations covered under the
self-insurance program;
(2) may include a member representative of each covered
population; and
(3) must maintain a balance of administration and
nonadministration members.
(c) Self-insurance program documents provided to individuals
covered under the self-insurance program must specify the appeal
process, including the name, address, and telephone number of the
individual with whom an appeal may be filed.
As added by P.L.1-2005, SEC.37.
IC 21-2-19-5
Incurred claims basis funding; deposits
Sec. 5. (a) A self-insurance program must be written on an
incurred claims basis.
(b) The governing body must fund a self-insurance program as
described in IC 21-2-5.6-1(2) to include coverage for all eligible
incurred claims.
(c) Subject to IC 21-2-5.6 and notwithstanding any other law:
(1) contributions made on behalf of individuals covered under
the self-insurance program, including employee and employer
contributions; and
(2) transfers or allocations of funds by a governing body;
for coverage for health care services under a self-insurance program
must be directly deposited into the self-insurance fund established
under IC 21-2-5.6-1(2) and may not be transferred to other accounts
or expended for any other purpose.
As added by P.L.1-2005, SEC.37.
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