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IDOI > Companies or Entities: Licensed/Registered > Foreign Admission Requirements Foreign Admission Requirements

IDOI provides state specific requirements for Health Maintenance Organizations and Limited Service Health Maintenance Organizations and forms for admission of foreign insurance companies, health maintenance organizations and limited service health maintenance organizations. The requirements and instructions for filing must be met.

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Fraternal, Life, Property & Casualty Insurance Companies

To meet Foreign Admissions requirements access the Uniform Certificate of Authority Expansion Application.

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Health Maintenance Organization

The following state specific items must be submitted along with the Uniform Certificate of Authority Expansion Application (UCAA) in order to obtain a Certificate of Authority.

  1. Foreign Corporations:
    1. Certificate of Authority, from the Secretary of State, to transact business in Indiana as a foreign corporation. ( IC 27-13-2-3 )
    2. Certificate of Deposit from state of domicile showing deposit for benefit of all policyholders. ( IC 27-13-13-6(2) )
    3. Power of Attorney
    4. Board of Directors' Resolution
  2. A Fidelity bond ($250,000 minimum), covering all of the officers and employees of the plan. Must be approved by Board of Directors. ( IC 27-13-5-2 )
  3. Minimum net worth of $1.5 million. ( IC 27-13-12-2 )
  4. A financial feasibility plan in accordance with IC 27-13-2-5(9).
  5. Statements of:
    1. Geographic area to be served, by county ( IC 27-13-2-5(11) )
    2. The company's compliance with Point of Service Products ( IC 27-13-13-8 )
  6. A copy of any contract that has been made or is to be made between the HMO and a Third Party Administrator, agent(s) or person(s) identified as members of the governing body and officers responsible for the conduct of the affairs of the applicant. ( IC 27-13-2-5(5) )
  7. Evidence of coverage to enrollees with proper identifiable form numbers, to include the following items applicable to the proposed plan: ( IC 27-13-2-5(6)(7) )
    1. Master group contract.
    2. Employee subscription certificate (benefit schedule).
    3. Enrollment application.
    4. Conversion contract.
    5. Conversion benefit schedule.
    6. Individual agreement.
    7. Individual schedule of benefits.
    8. Individual application.
    9. Medicare subscriber agreement.
    10. Medicare schedule of benefits.
    11. All applicable marketing materials.
  8. Schedule of rates including: ( IC 27-13-2-5(9)(B) )
    1. Proposed group rates and actuarial justification.
    2. Proposed conversion rates and actuarial justification.
    3. Proposed individual rates and actuarial justification.
  9. Provider contracts ( IC 27-13-2-5(4) ) containing appropriate hold harmless language ( IC 27-13-15-1 ) and evidence of intended providers ( IC 27-13-2-5(4) ) (i.e. letters of intent).
  10. A statement that waives the corporation's rights under federal bankruptcy laws signed by an officer or other person with the authority to bind the corporation. ( IC 27-13-2-8 )
  11. Complaint Summary & Questionnaire for the past 2 years on applicant and applicant's parent.
  12. A description of the internal procedures to be used by the HMO for the investigation and resolution of the complaints and grievances of enrollees. ( IC 27-13-2-5(12) & IC 27-13-10-1 )
  13. A description of the proposed quality management program of the applicant that includes the criteria per ( IC 27-13-6-1 ).
  14. A description of the procedures to be implemented to meet the requirements set forth in IC 27-13-12 through IC 27-13-19.
  15. A list of the names, addresses and license numbers of providers with whom the HMO has agreements. ( IC 27-13-2-5(15) )
  16. The IDOI utilizes the Uniform Certificate of Authority Expansion Application.

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Limited Service Health Maintenance Organization

The following state specific items must be submitted along with the Uniform Certificate of Authority Expansion Application (UCAA) in order to obtain a Certificate of Authority.

  1. Foreign Corporations:
    1. Certificate of Authority, from the Secretary of State, to transact business in Indiana as a foreign corporation. ( I.C. 27-13-34-7 )
    2. Power of Attorney, appointing the Commissioner, Indiana Department of Insurance, ("Commissioner") as attorney for service of process. ( I.C. 27-13-34-8(19) )
    3. Power of Attorney
    4. Resolution by Board of Directors appointing Commissioner as Power of Attorney to receive process of service.
    5. Certificate of Deposit from state of domicile showing deposit for benefit of all policyholders. ( I.C. 27-13-34-17(g)(l) )
  2. A Deposit in the amount of $50,000 held jointly with the applicant and Commissioner for the benefit of Indiana enrollees. ( I.C. 27-13-34-17)
  3. Fidelity bond - $50,000 minimum, covering all of the officers and employees of the plan. Must be approved by Board of Directors. ( IC 27-13-34-18 )
  4. Minimum net worth equal to the greater of $50,000 or 2.5% of annual gross subscription income. ( IC 27-13-34-16 )
  5. A financial plan in accordance with IC 27-13-34-8(10).
  6. Statements of:
    1. Geographic area to be served, by county.
    2. The company's compliance with Point of Service Products. ( IC 27-13-34-10(6) )
    3. Acknowledgment that all lawful process in any legal action or proceeding against the applicant on a cause of action arising in Indiana is valid if served in accordance with the Indiana Rules of Trial Procedure. ( IC 27-13-34 )
  7. Copies of the form(s) of any contract(s) made or to be made between the applicant and any person(s) identified as members of the governing body and officers responsible for the conduct of the affairs of the applicant. ( IC 27-13-34-8(7) )
  8. Evidence of coverage to enrollees with proper identifiable form numbers, to include the following items applicable to the proposed plan: ( IC 27-13-34-8(8) )
    1. Master group contract.
    2. Employee subscription certificate (benefit schedule).
    3. Enrollment application.
    4. Conversion contract.
    5. Conversion benefit schedule.
    6. Individual agreement.
    7. Individual schedule of benefits.
    8. Individual application.
    9. All applicable marketing materials.
  9. Provider contracts containing appropriate hold harmless language ( IC 27-13-34-12(4) ) and evidence of intended providers (i.e. letters of intent). ( IC 27-13-34-8(5) )
  10. A statement that waives the corporation's rights under federal bankruptcy laws signed by an officer or other person with the authority to bind the corporation. ( IC 27-13-34-8(17) )
  11. Complaint Summary & Questionnaire for past 2 years on applicant and applicant's parent. ( IC 27-13-34-8(18) )
  12. A description of the complaint procedures to be established and maintained under IC 27-13-10 & IC 27-13-34-12(1).
  13. A description of the quality assessment and utilization review procedures to be used by the applicant. ( IC 27-13-34-8(14) )
  14. The IDOI utilizes the Uniform Certificate of Authority Expansion Application.

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Title Insurance Company

The following state specific items must be submitted along with the Uniform Certificate of Authority Expansion Application (UCAA) in order to obtain a Certificate of Authority.