760 Ind. Admin. Code 1-38.1-4.3

Current through December 12, 2024

Section 760 IAC 1-38.1-4.3 - "Closed panel plan" defined

Authority: IC 27-1-3-7

Affected: IC 27-8-5-19

Sec. 4.3.

As used in this rule, "closed panel plan" means a plan that provides health benefits to covered persons primarily in the form of services through a panel of providers that have been contracted with or are employed by the plan. The term excludes benefits for services provided by other providers, except in cases of emergency or referral by a panel member.

760 IAC 1-38.1-4.3

Department of Insurance; 760 IAC 1-38.1-4.3; filed Sep 15, 2006, 2:02 p.m.: 20061011-IR-760050265FRA; readopted filed Nov 21, 2012, 4:15 p.m.: 20121219-IR-760120454RFA

Readopted filed Nov 13, 2018, 10:02 a.m.: 20181212-IR-760180372RFA

Readopted filed 10/31/2024, 3:52 p.m.: 20241127-IR-760230814RFA