Sec. 5. (a) As used in this chapter, "health plan" means a plan through which coverage is provided for health care services through insurance, prepayment, reimbursement, or otherwise. The term includes the following:
(1) An employee welfare benefit plan (as defined in 29 U.S.C. 1002 et seq.).
(2) A policy of accident and sickness insurance (as defined in IC 27-8-5-1).
(3) An individual contract (as defined in IC 27-13-1-21) or a group contract (as defined in IC 27-13-1-16).
(b) The term does not include the following:
(1) Accident-only, credit, Medicare supplement, long term care, or disability income insurance.
(2) Coverage issued as a supplement to liability insurance.
(3) Worker's compensation or similar insurance.
(4) Automobile medical payment insurance.
(5) A specified disease policy issued as an individual policy.
(6) A short term insurance plan that:
(A) may be renewed for the greater of:
(i) thirty-six (36) months; or
(ii) the maximum period permitted under federal law;
(B) has a term of not more than three hundred sixty-four (364) days; and
(C) has an annual limit of at least two million dollars ($2,000,000).
(7) A policy that provides a stipulated daily, weekly, or monthly payment to an insured during hospital confinement, without regard to the actual expense of the confinement.
As added by P.L.55-2008, SEC.1. Amended by P.L.288-2019, SEC.1.
Structure Indiana Code
Article 1. Department of Insurance
Chapter 37.3. Third Party Rights and Responsibilities Under Health Care Contracts
27-1-37.3-0.1. Application of Chapter
27-1-37.3-1. Application of Definitions
27-1-37.3-4. "Covered Individual"
27-1-37.3-6. "Health Care Contract"
27-1-37.3-7. Granting Access to Contracted Health Care Services; Requirements
27-1-37.3-8. List of Third Parties With Access to Contracted Health Care Services
27-1-37.3-9. Identification of Contractual Source of Discounts