Indiana Code
Title 27. Insurance
Article 8. Life, Accident, and Health

27-8-1-7. Restriction on Kinds of Certificates; Expenses; Segregation of Expense and Mortuary Funds - Sec. 7. No corporation, association, or society organized under the...

27-8-1-8. Annual Statement; Examination - Sec. 8. Any corporation, association, or society carrying on the...

27-8-1-9. Repealed - Formerly: Acts 1883, c.136, s.9. Repealed by Acts 1978, P.L.2,...

27-8-1-10. Quo Warranto to Remove Officers or Close Business - Sec. 10. Whenever any such corporation or association shall fail...

27-8-1-11. Bonds of Officers and Agents - Sec. 11. No agent or officer of such corporation, association...

27-8-1-12. Examination of Sufficiency of Treasurer's Bond - Sec. 12. Said bond of treasurer shall be examined as...

27-8-1-13. Qualification of Foreign Corporation - Sec. 13. Any corporation, association, or society, organized under the...

27-8-1-14. Retaliatory Provision - Sec. 14. When any other state or government shall impose...

27-8-1-15. Foreign Corporations; Annual Statement and Fee; License Revocation for Failure to File Statement; Solvency Statement From Foreign State - Sec. 15. Such corporation, association or society, shall pay to...

27-8-1-16. Foreign Corporations; Fraudulent Practices; Quo Warranto to Revoke License - Sec. 16. When, in the auditor's opinion, such corporation or...

27-8-1-17. Noncompliance; Violations - Sec. 17. An officer, agent, or employee of a corporation...

27-8-1-18. Exemption of Fraternal Societies - Sec. 18. The provisions of this chapter shall in no...

Chapter 2. Assessment Policy─specified Payment

27-8-2-1. Specification of Exact Payment Upon Each Contingency Insured Against - Sec. 1. Every policy or certificate issued by any insurance...

27-8-2-2. Failure to Pay Amount Specified; Proceedings to Close Business - Sec. 2. Failure to pay the amount, whether in friendly...

Chapter 3. Mutual Life and Accident─formation

27-8-3-1. Authority to Incorporate; Purposes; Articles of Incorporation; Initial Applications; Approval and Filing Documents; License - Sec. 1. Any number of persons not less than five...

27-8-3-2. Corporate Powers - Sec. 2. A corporation, association, or society, organized under the...

27-8-3-3. Directors, Trustees, or Managers - Sec. 3. The affairs of all corporations, associations, or societies...

27-8-3-4. Determination of Fee Rates and Amount of Premiums, Assessments, or Periodical Calls; Risks - Sec. 4. The trustees, directors, or managers, or the persons...

27-8-3-5. Reincorporation of Domestic Assessment Plan Companies; Exceptions - Sec. 5. Any domestic corporation, association, or society, transacting business...

27-8-3-6. Application of Chapter to Assessment Plan Companies; Exceptions - Sec. 6. Any incorporation, association or society organized to insure...

27-8-3-7. Accumulation of Reserve or Emergency Fund; Investment; Additional Funds; Use of Excess - Sec. 7. Every such life insurance corporation, association, or society...

27-8-3-8. Assignment of Policy to Person Without Insurable Interest Void - Sec. 8. No corporation, association or society doing business of...

27-8-3-9. Annual Report; Failure to File Report and Pay Fees; Suspension From Doing Business - Sec. 9. Every such life insurance corporation, association, or society...

27-8-3-10. Accident Insurance Business on Assessment Plan - Sec. 10. Any corporation, association, or society organized to insure...

27-8-3-11. Reserve Emergency Fund - Sec. 11. Every such accident insurance corporation, association, or society...

27-8-3-12. Report of Affairs and Operations; Suspension for Failure to File - Sec. 12. (a) Every such accident insurance corporation, association, or...

27-8-3-13. Authority to Deposit Securities; Investment of Reserve Funds - Sec. 13. This chapter shall not be construed to limit...

27-8-3-14. Specification of Amount Payable Upon Particular Contingency; Obligation for Payment; Suspension of Right to Issue New Policies Until Payment Made - Sec. 14. Every policy or certificate issued after March 9,...

27-8-3-15. Transfer or Reinsurance of Risks; Approval; Notice of Preference for Transfer to Different Corporation - Sec. 15. No such corporation, association, or society, organized under...

27-8-3-16. Examination at Request of Corporation; Certificate of Results; Expense - Sec. 16. The insurance commissioner shall, at the request of...

27-8-3-17. Visitation and Inspection; Insolvency or Improper Business Practices; Report; Order to Show Cause for Termination of Business - Sec. 17. All corporations, associations, and societies to which this...

27-8-3-18. Attorney General; Exclusive Power to Apply for Accounting, Injunction, or Receivership - Sec. 18. No order, judgment, or decree providing for an...

27-8-3-19. Foreign Corporations; Requirements for Authority to Do Business; Revocation of Authority; Retaliation Clause - Sec. 19. Any corporation, association, or society organized under the...

27-8-3-20. Foreign Corporations; Service of Process - Sec. 20. All processes in any action or proceeding against...

27-8-3-21. Fraudulent Representations; Offenses - Sec. 21. A person who knowingly makes a false or...

27-8-3-22. Eligible Beneficiaries; Change of Beneficiary - Sec. 22. Any member of such corporation, association or society...

27-8-3-23. Exemption of Benefits and Premiums From Judicial Process - Sec. 23. (a) As used in this section, "premium" includes...

27-8-3-24. Violations; Revocation of Power to Do Business - Sec. 24. An officer or agent of any corporation, association,...

27-8-3-25. Fees - Sec. 25. The fees to be paid by each such...

27-8-3-26. Exempt Organizations - Sec. 26. Nothing contained in sections 1 through 25 of...

27-8-3-27. Legal Reserves; Compulsory Deposits; Filing of Forms; Exceptions - Sec. 27. (a) Notwithstanding any of the provisions of sections...

Chapter 4. Credit Life and Credit Accident and Health Insurance

27-8-4-0.1. Application of Certain Amendments to Chapter - Sec. 0.1. The addition of section 9.5 of this chapter...

27-8-4-1. Purpose - Sec. 1. The purpose of this chapter is to promote...

27-8-4-2. Citation; Scope; Definitions - Sec. 2. (a) Citation and Scope: (1) This chapter may...

27-8-4-3. Forms of Insurance - Sec. 3. Credit life insurance and credit accident and health...

27-8-4-4. Limitations on Amount of Insurance - Sec. 4. A. Credit Life Insurance. The initial amount of...

27-8-4-5. Term of Insurance - Sec. 5. The term of any credit life insurance or...

27-8-4-6. Policy or Certificate; Delivery; Rejection of Risk; to Another Insurer; Credit for Lower Premium - Sec. 6. (a) All credit life insurance and credit accident...

27-8-4-7. Filing of Documents; Disapproval of Form of Policy; Effect; Withdrawal of Approval; Review - Sec. 7. (a) All policies, certificates of insurance, notices of...

27-8-4-8. Revision of Rate Schedules; Credit or Refund of Premiums - Sec. 8. A. Any insurer may revise its schedules of...

27-8-4-9. Persons Authorized to Issue or Deliver Policies - Sec. 9. All policies of credit life insurance and credit...

27-8-4-9.5. Debtor's Right to Cancel Policy; Required Provisions in Application Form; Time Limit - Sec. 9.5. (a) An individual or group policy of credit...

27-8-4-10. Report, Adjustment, and Settlement of Claims - Sec. 10. A. All claims shall be promptly reported to...

27-8-4-11. Debtor's Choice of Insurer; Use of Existing Policies - Sec. 11. When life insurance or accident and health insurance...

27-8-4-12. Rules; Order for Compliance - Sec. 12. The commissioner may, after notice and hearing, issue...

27-8-4-13. Judicial Review - Sec. 13. Any party to the proceeding affected by an...

27-8-4-14. Violations; Civil Penalty; Revocation or Suspension of License or Certificate of Authority - Sec. 14. In addition to any other penalty provided by...

Chapter 5. Accident and Sickness Insurance─policy Provisions

27-8-5-0.1. Application of Certain Amendments to Chapter - Sec. 0.1. The following amendments to this chapter apply as...

27-8-5-1. Policy of Accident and Sickness Insurance; Filing; Review; Conformity With Federal Act - Sec. 1. (a) The term "policy of accident and sickness...

27-8-5-1.5. Filing, Review, Approval, and Disapproval Process - Sec. 1.5. (a) This section applies to a policy of...

27-8-5-2. Requirements for Issuance and Delivery of Policy - Sec. 2. (a) No individual policy of accident and sickness...

27-8-5-2.5. Coverage Under Individual, and Certain Association Group, Policies of Accident and Sickness Insurance; Waivers - Sec. 2.5. (a) As used in this section, the term...

27-8-5-2.6. Repealed - As added by P.L.93-1995, SEC.7. Amended by P.L.190-1996, SEC.2. Repealed...

27-8-5-2.7. Individual Policy of Accident and Sickness Insurance; Waiver of Coverage - Sec. 2.7. (a) Notwithstanding section 2.5 of this chapter and...

27-8-5-3. Required Provisions; Statutory Option Provisions; Inapplicable or Inconsistent Provisions; Order of Provisions; Third Party Ownership; Requirements of Other Jurisdictions; Filing Procedure - Sec. 3. (a) Except as provided in subsection (c), each...

27-8-5-4. Effect of Other Policy Provisions or Policy Conflicting With Chapter - Sec. 4. (a) No policy provision which is not subject...

27-8-5-5. Application; Attaching Copy to Policy; Furnishing Copy to Insured; Alterations; Effect of False Statements - Sec. 5. (a) The insured shall not be bound by...

27-8-5-6. Defenses of Insurer; Acts Not Constituting Waiver - Sec. 6. The acknowledgment by any insurer of the receipt...

27-8-5-7. Acceptance of Premium for Period Beyond Termination Date; Effect; Misstatement of Age - Sec. 7. If any such policy contains a provision establishing,...

27-8-5-8. Exemption of Accident and Sickness Coverage Incidental to Designated Other Forms of Insurance - Sec. 8. Except as otherwise expressly indicated in this section,...

27-8-5-9. Exemption of Certain Individual Policies - Sec. 9. An individual accident and sickness insurance policy form...

27-8-5-10. Repealed - Formerly: Acts 1953, c.15, s.169.10; Acts 1969, c.266, s.2; Acts...

27-8-5-11. Franchise Plan; Accident and Sickness Insurance; Definitions, Limitations, Requirements, and Standards - Sec. 11. No policy of accident and sickness insurance on...

27-8-5-12. Supplementary Character of Chapter - Sec. 12. This chapter while independent in its enactment of...

27-8-5-13. Repeal of 1935 Act - Sec. 13. Acts 1935, c.162, s.174 is hereby expressly repealed...

27-8-5-14. Exception of Fraternal Benefit Associations - Sec. 14. The provisions of sections 2 and 3 of...

27-8-5-15. Blanket Accident and Sickness Insurance; Qualification of Groups; Policy Provisions; Payment of Benefits - Sec. 15. (a) No policy of blanket accident and sickness...

27-8-5-15.5. Inpatient Services for Treatment of Mental Illness or Substance Abuse - Sec. 15.5. (a) As used in this section: "Alcohol abuse"...

27-8-5-15.6. Treatment Limitations or Financial Requirements on Coverage of Services for Mental Illness - Sec. 15.6. (a) As used in this section, "coverage of...

27-8-5-15.7. Exemption of Policies or Contracts From Laws Resulting in Certain Annual Premium Increases - Sec. 15.7. (a) The department shall exempt a policy or...

27-8-5-15.8. "Treatment of a Mental Illness or Substance Abuse"; "Act"; "Nonqualitative Treatment Limitations"; Insurer Reporting and Analysis Requirements - Sec. 15.8. (a) As used in this section, "treatment of...

27-8-5-16. Policy of Group Accident and Sickness Insurance; Requirements - Sec. 16. Except as provided in sections 17 and 24...

27-8-5-16.3. "Small Employer"; Implementation of Program for Joint Purchase of Health Insurance; Rules - Sec. 16.3. (a) As used in this section, "small employer"...

27-8-5-16.5. Conditions for Issuance of Certificate to Resident of Indiana Under Group Policy Delivered or Issued in Another State - Sec. 16.5. (a) As used in this section, "delivery state"...

27-8-5-17. Exceptions; Discretionary Groups; Group Accident and Sickness Insurance - Sec. 17. (a) A group accident and sickness insurance policy...

27-8-5-18. Extension to Family Members or Dependents; Premiums; Exclusions; Group Accident and Sickness Insurance - Sec. 18. (a) Except for a policy that conforms to...

27-8-5-19. Contents; Group Accident and Sickness Insurance - Sec. 19. (a) As used in this chapter, "late enrollee"...

27-8-5-19.2. Repealed - As added by P.L.211-2003, SEC.4. Repealed by P.L.3-2008, SEC.269.

27-8-5-19.3. Association and Discretionary Group Policies of Accident and Sickness Insurance; Waiver of Coverage - Sec. 19.3. (a) This section applies to an association or...

27-8-5-20. Notice of Right to Return Policy - Sec. 20. (a) All individual accident and health insurance policies,...

27-8-5-21. Adopted Children - Sec. 21. (a) Any individual or group policy or plan...

27-8-5-22. Refund of Unused Premiums - Sec. 22. (a) All individual policies of accident and sickness...

27-8-5-23. Statute or Rule Mandating Particular Types of Health Care Coverage; Applications to Insurer - Sec. 23. (a) This section does not apply to IC...

27-8-5-24. Insured Issued New Policy Within Year After Cancellation or Nonrenewal; Mandatory Coverage - Sec. 24. If an insurer cancels or declines to renew...

27-8-5-25. Maternity Benefits; Replacement of Discontinued Policy; Prohibition on Preexisting Condition Limitation or Exclusion of Coverage - Sec. 25. (a) As used in this section, "employer" means...

27-8-5-26. Post-Mastectomy Coverage - Sec. 26. (a) As used in this section, "mastectomy" means...

27-8-5-27. Dental Care Provisions Required - Sec. 27. (a) As used in this section, "accident and...

27-8-5-28. Coverage of Child to 26 Years of Age - Sec. 28. A policy of accident and sickness insurance may...

27-8-5-29. Health Plans Offered Through Health Benefit Exchange - Sec. 29. (a) The definitions in IC 27-19-2 apply throughout...

27-8-5-30. Step Therapy Protocol - Sec. 30. (a) As used in this section, "insured" means...

27-8-5-31. Repealed - As added by P.L.19-2016, SEC.4. Repealed by P.L.114-2020, SEC.18.

27-8-5-31.5. Insurer Removing Prescription Drug From Formulary or Changing Cost Sharing; Written Notice and Appeal Process - Sec. 31.5. (a) This section applies to a policy of...

Chapter 5.5. Accident and Sickness Insurance─claim Forms

27-8-5.5-1. Definitions - Sec. 1. As used in this chapter: (a) "Commissioner" means...

27-8-5.5-2. Promulgation of Forms; Requisites; Contents; Acceptance of Claims; Explanation of Benefits Paid Statements or Claims Summary Statements - Sec. 2. (a) The commissioner shall prescribe by rule, after...

27-8-5.5-3. Obtaining Additional Information Regarding Claims - Sec. 3. The adoption of uniform claim forms by the...

Chapter 5.6. Accident and Sickness Insurance─coverage for Newborns

27-8-5.6-0.1. Application of Certain Amendments to Chapter - Sec. 0.1. The amendments made to section 2 of this...

27-8-5.6-1. "Accident and Sickness Insurance" - Sec. 1. (a) As used in this chapter, the term...

27-8-5.6-2. Policy Provisions - Sec. 2. (a) Except as provided in subsection (b), all...

27-8-5.6-3. Payment of Specific Premium; Notification of Birth - Sec. 3. If payment of a specific premium or subscription...

27-8-5.6-4. Application of Chapter - Sec. 4. This chapter applies to accident and sickness insurance...

Chapter 5.7. Accident and Sickness Insurance; Provider Payment

27-8-5.7-1. "Accident and Sickness Insurance Policy" Defined - Sec. 1. As used in this chapter, "accident and sickness...

27-8-5.7-2. "Clean Claim" Defined - Sec. 2. As used in this chapter, "clean claim" means...

27-8-5.7-3. "Insurer" Defined - Sec. 3. As used in this chapter, "insurer" means an...

27-8-5.7-4. "Provider" Defined - Sec. 4. As used in this chapter, "provider" has the...

27-8-5.7-5. Notice of Deficiencies in Claims - Sec. 5. (a) An insurer shall pay or deny each...

27-8-5.7-6. Payment or Denial of Claims; Interest - Sec. 6. (a) An insurer shall pay or deny each...

27-8-5.7-7. Permitted Forms - Sec. 7. A provider shall submit only the following forms...

27-8-5.7-8. Civil Penalties - Sec. 8. (a) If the commissioner finds that an insurer...

27-8-5.7-9. Repealed - As added by P.L.178-2003, SEC.61. Repealed by P.L.1-2007, SEC.248.

27-8-5.7-10. Claim Payment Errors - Sec. 10. (a) An insurer may not, more than two...

27-8-5.7-11. Claim Overpayment Adjustment - Sec. 11. Every subsequent claim that is adjusted by an...

Chapter 5.8. Insurance Benefit Cards

27-8-5.8-1. "Accident and Sickness Insurance Policy" - Sec. 1. As used in this chapter, "accident and sickness...

27-8-5.8-2. "Commissioner" Defined - Sec. 2. As used in this chapter, "commissioner" means the...

27-8-5.8-3. "Insured" Defined - Sec. 3. As used in this chapter, "insured" means an...

27-8-5.8-4. Prescription Drug Information Card - Sec. 4. (a) This section applies to an insurer that:...

27-8-5.8-5. "Health Plan Information Card"; Indication of Health Benefits; Rules - Sec. 5. (a) As used in this section, "health plan...

27-8-5.8-6. "Insurer"; Electronic Data Base; Required Information; Rules - Sec. 6. (a) As used in this section, "insurer" means:...

Chapter 5.9. Short Term Insurance Plan

27-8-5.9-1. "Covered Individual" - Sec. 1. As used in this chapter, "covered individual" means...

27-8-5.9-2. "Ppaca" - Sec. 2. As used in this chapter, "PPACA" has the...

27-8-5.9-3. "Short Term Insurance Plan" - Sec. 3. As used in this chapter, "short term insurance...

27-8-5.9-4. Renewal Requirements - Sec. 4. (a) An insurer may require an applicant for...

27-8-5.9-5. Coverage Requirements - Sec. 5. A short term insurance plan must include coverage...

27-8-5.9-6. Use of Preferred Provider Plan - Sec. 6. (a) This section applies to an insurer that...

27-8-5.9-7. Disclosures - Sec. 7. (a) An insurer that issues a short term...

27-8-5.9-8. Similarly Situated Individuals - Sec. 8. An insurer shall not, as a condition of...

27-8-5.9-9. Health Promotion and Disease Prevention Programs - Sec. 9. This chapter does not prevent an insurer from...

Chapter 6. Reimbursement for Certain Medical Services

27-8-6-0.1. Application of Certain Amendments to Chapter - Sec. 0.1. The addition of section 4 of this chapter...

27-8-6-1. Professional Services for Which Reimbursement Authorized - Sec. 1. Notwithstanding any provision of any individual or group...

27-8-6-2. Prior Policies - Sec. 2. The provisions of section 1 of this chapter...

27-8-6-3. Application of Amendments by Acts 1974, p.l.126 - Sec. 3. The amendments to this chapter made by Acts...

27-8-6-4. Reimbursement for Services; Application of Section; Prohibitions Excluded - Sec. 4. (a) This section does not apply to any...

27-8-6-5. Indemnity for Services Provided by Certified Registered Nurse Anesthetist - Sec. 5. (a) As used in this section, "certified registered...

27-8-6-6. Coverage for Athletic Trainer Services - Sec. 6. (a) As used in this section, "policy of...

27-8-6-7. Coverage for Substance Abuse or Chemical Dependency Treatment by Addiction Counselors, Clinical Addiction Counselors, and Marriage and Family Therapists - Sec. 7. (a) As used in this section, "policy of...

27-8-6-8. Reimbursement for Emergency Medical Services - Sec. 8. (a) As used in this section, "emergency medical...

Chapter 7. Repealed - Repealed by P.L.26-1994, SEC.28.

Chapter 8. Indiana Life and Health Insurance Guaranty Association Law

27-8-8-0.3. Coverage Obligations Affected by Statutory Amendments; Governing Law - Sec. 0.3. (a) The association's coverage obligations under this chapter...

27-8-8-1. Repealed - As added by Acts 1978, P.L.129, SEC.3. Amended by P.L.1-1989,...

27-8-8-1.5. Repealed - As added by P.L.251-1995, SEC.19. Repealed by P.L.193-2006, SEC.32.

27-8-8-2. Definitions - Sec. 2. (a) The definitions in this section apply throughout...

27-8-8-2.1. Policy, Contract, Rider Descriptions; Plan Sponsor; Residency - Sec. 2.1. (a) For purposes of this chapter: (1) a...

27-8-8-2.3. Coverage Provided; Exclusions; Limitations - Sec. 2.3. (a) Except as otherwise excluded or limited by...

27-8-8-3. Creation of Association; Membership; Accounts; Supervision - Sec. 3. (a) There is created a nonprofit legal entity...

27-8-8-4. Board of Directors - Sec. 4. (a) The board of directors of the association...

27-8-8-5. Impaired Insurers; Insolvent Insurers; Liens; Association Powers and Duties - Sec. 5. (a) If a member insurer is an impaired...

27-8-8-5.2. Association Election to Succeed to Rights and Duties of Impaired or Insolvent Insurer; Reinsurance - Sec. 5.2. (a) At any time within one (1) year...

27-8-8-5.4. Association Obligations to Person Entitled to Coverage - Sec. 5.4. If the association has arranged or offered to...

27-8-8-5.5. Venue; Appeal Bond - Sec. 5.5. (a) Venue in a suit against the association...

27-8-8-6. Assessments - Sec. 6. (a) For the purpose of providing funds necessary...

27-8-8-6.2. Member Protesting Assessment - Sec. 6.2. (a) A member insurer that wishes to protest...

27-8-8-6.5. Association Requests for Information - Sec. 6.5. (a) The association may request information from a...

27-8-8-7. Association Plan of Operation - Sec. 7. (a) The association shall submit to the commissioner...

27-8-8-8. Powers and Duties of Commissioner; Appeals to Commissioner; Notice of Effect of Chapter - Sec. 8. (a) The commissioner shall do the following: (1)...

27-8-8-9. Detection and Prevention of Insurer Insolvencies or Impairments; Actions of Board of Directors - Sec. 9. (a) To aid in the detection and prevention...

27-8-8-10. Records of Board Meetings; Disclosure of Records; Association Status as Creditor; Application of Impaired or Insolvent Insurer's Assets - Sec. 10. (a) Records must be kept of all meetings...

27-8-8-11. Distributions to Affiliates; Recovery - Sec. 11. (a) Subject to subsections (b) through (d), if...

27-8-8-12. Examination and Regulation of Association; Financial Report - Sec. 12. (a) The association is subject to examination and...

27-8-8-13. Association Tax and Fee Exemption - Sec. 13. The association is exempt from payment of all...

27-8-8-14. Liability for Performance Under Chapter - Sec. 14. (a) A member insurer and the member insurer's...

27-8-8-15. Insolvent Insurer Proceedings; Stay; Setting Aside Judgment - Sec. 15. All proceedings in which an insolvent insurer is...

27-8-8-16. Recoupment of Assessments - Sec. 16. A member insurer may take as a credit...

27-8-8-16.2. Premium Surcharge or Assignment in Lieu of Credit - Sec. 16.2. (a) A member insurer that is not eligible...

27-8-8-17. Refunds From Association - Sec. 17. (a) Sums acquired by refund under section 6(n)...

27-8-8-18. Advertising Referring to Association; Association Summary Document - Sec. 18. (a) A person, including a member insurer, insurance...

Chapter 9. Primary Motor Vehicle Insurance Coverage

27-8-9-0.3. Certain Amendments Intended as Restatement of Section 8 of This Chapter; p.l.226-1993 Does Not Affect Rights, Liabilities, Penalties, Violations, or Proceedings Before May 10, 1993; Treatments of References to Section 8 of This Chapter - Sec. 0.3. (a) The amendments made to this chapter and...

27-8-9-1. Repealed - As added by Acts 1980, P.L.174, SEC.1. Repealed by P.L.261-1983,...

27-8-9-2. Repealed - As added by Acts 1980, P.L.174, SEC.1. Repealed by P.L.261-1983,...

27-8-9-3. Repealed - As added by Acts 1980, P.L.174, SEC.1. Repealed by P.L.261-1983,...

27-8-9-4. Repealed - As added by Acts 1980, P.L.174, SEC.1. Repealed by P.L.261-1983,...

27-8-9-5. Application of Chapter - Sec. 5. This chapter applies only to policies affording motor...

27-8-9-6. Definitions - Sec. 6. (a) The definitions set forth in this section...

27-8-9-7. Coverage for a Permittee or Passenger - Sec. 7. (a) This section does not apply to cases...

27-8-9-8. Repealed - As added by P.L.261-1983, SEC.4. Repealed by P.L.226-1993, SEC.8.

27-8-9-9. Leased Motor Vehicles; Leased Vehicles Used in Transportation for Hire - Sec. 9. (a) When a claim arises from the operation...

27-8-9-10. Garage Liability Policy as Owner's Only Coverage; Permittee's Coverage Primary - Sec. 10. (a) This section applies if the only motor...

27-8-9-11. Bailee's Coverage Primary - Sec. 11. (a) This section applies to a motor vehicle...

Chapter 10. Comprehensive Health Insurance

27-8-10-0.1. Application of Certain Amendments to Chapter - Sec. 0.1. The following amendments to this chapter apply as...

27-8-10-0.5. Dissolution of the Association - Sec. 0.5. (a) Except as provided in this section, the...

27-8-10-1. Definitions - Sec. 1. (a) The definitions in this section apply throughout...

27-8-10-2. Repealed - As added by Acts 1981, P.L.249, SEC.1. Amended by P.L.253-1989,...

27-8-10-2.1. Comprehensive Health Insurance Association; Establishment; Board of Directors; Plan of Operation; Powers and Duties - Sec. 2.1. (a) There is established a nonprofit legal entity...

27-8-10-2.2. Repealed - As added by P.L.51-2004, SEC.2. Repealed by P.L.1-2007, SEC.248.

27-8-10-2.3. Reporting Requirements - Sec. 2.3. (a) A member shall, not later than October...

27-8-10-2.4. Tax Credits - Sec. 2.4. (a) Beginning January 1, 2005, a member that,...

27-8-10-2.5. Members; General Requirements - Sec. 2.5. (a) A member shall comply with the association's...

27-8-10-2.6. Member and Health Care Provider Grievances - Sec. 2.6. (a) If a: (1) member is aggrieved by...

27-8-10-3. Association Policy Coverage; Reimbursement Methods; Eligible Expenses; Managed Care - Sec. 3. (a) An association policy issued under this chapter...

27-8-10-3.2. Balance Billing - Sec. 3.2. Except as provided in section 3.6 of this...

27-8-10-3.5. Chronic Disease and Pharmaceutical Management Programs - Sec. 3.5. (a) The association shall: (1) approve and implement...

27-8-10-3.6. Mail Order or Internet Based Pharmacy - Sec. 3.6. (a) The association shall approve a mail order...

27-8-10-4. Policies; Deductible and Coinsurance Requirements; Limitations - Sec. 4. (a) Subject to the limitation provided in subsection...

27-8-10-5. Repealed - As added by Acts 1981, P.L.249, SEC.1. Amended by P.L.253-1989,...

27-8-10-5.1. Policies; Eligible Persons; Dependent Coverage; Preexisting Conditions - Sec. 5.1. (a) A person is not eligible for an...

27-8-10-6. Policies; Renewal Provisions; Election to Continue Coverage Upon Death of Policyholder - Sec. 6. (a) An association policy offered under this chapter...

27-8-10-7. Rules; Adoption - Sec. 7. The commissioner may adopt rules, under IC 4-22-2,...

27-8-10-8. Civil or Criminal Liability of Association or Members - Sec. 8. Neither the participation by carriers or members in...

27-8-10-9. Medicare Supplement Policies - Sec. 9. (a) The association may issue Medicare supplement policies...

27-8-10-10. Eligibility Guidelines - Sec. 10. Before January 1, 1996, the board of directors...

27-8-10-11.2. Use of Diagnostic or Procedure Codes - Sec. 11.2. (a) Not more than ninety (90) days after...

27-8-10-12. Repealed - As added by P.L.193-2003, SEC.9. Repealed by P.L.51-2004, SEC.10.

27-8-10-13. Repealed - As added by P.L.193-2003, SEC.10. Repealed by P.L.51-2004, SEC.10.

27-8-10-14. Repealed - As added by P.L.193-2003, SEC.11. Amended by P.L.97-2004, SEC.101; P.L.51-2004,...

Chapter 10.1. Repealed - Repealed by P.L.30-2016, SEC.42.

Chapter 11. Accident and Sickness Insurance─reimbursement Agreements

27-8-11-0.1. Application of Certain Amendments to Chapter - Sec. 0.1. The addition of section 9 of this chapter...

27-8-11-1. Definitions - Sec. 1. (a) The definitions in this section apply throughout...

27-8-11-2. Conflicting Provisions - Sec. 2. To the extent of any conflict between this...

27-8-11-3. Reimbursement Agreements; Immunity - Sec. 3. (a) An insurer may: (1) enter into agreements...

27-8-11-3.1. Repealed - As added by P.L.134-1994, SEC.2. Repealed by P.L.1-1999, SEC.60.

27-8-11-4. Accessibility and Availability Terms; Reasonable Standards - Sec. 4. Policies issued under section 3(a)(3) or section 3.1...

27-8-11-4.5. Permitted Disclosures by Providers; Coverage of Benefit or Service; Payment of Provider; Application - Sec. 4.5. (a) An agreement between an insurer and provider...

27-8-11-5. Preferred Provider Plans; Filing Sworn Statement - Sec. 5. Each person that organizes a preferred provider plan...

27-8-11-6. Preferred Provider Plans; Hospital Accreditation - Sec. 6. (a) A preferred provider plan may not refuse...

27-8-11-7. Provider Credentialing - Sec. 7. (a) This section applies to an insurer that...

27-8-11-8. Provider Directories - Sec. 8. (a) An insurer may provide to an insured...

27-8-11-9. Preferred Provider Agreement Prohibitions - Sec. 9. (a) As used in this section, "insurer" includes...

27-8-11-10. Coverage for Dialysis Treatment - Sec. 10. (a) As used in this section, "dialysis facility"...

27-8-11-11. Insurer Payment to Insured for Service Rendered by Noncontracted Provider; Requirements - Sec. 11. (a) As used in this section, "noncontracted provider"...

27-8-11-12. Right to Provide Prescription Cost Information; Point of Sale Cost Limit; Pharmacist May Not Be Required to Collect Higher Copayment - Sec. 12. (a) As used in this section, "drug" means...

27-8-11-13. Fully Credentialed Provider Reimbursement; Requirements - Sec. 13. (a) A fully credentialed provider shall be reimbursed...

Chapter 12. Long Term Care Insurance

27-8-12-1. "Applicant" Defined - Sec. 1. As used in this chapter, "applicant" means: (1)...

27-8-12-2. "Certificate" Defined - Sec. 2. As used in this chapter, "certificate" means a...

27-8-12-3. "Certificate Holder" Defined - Sec. 3. As used in this chapter, "certificate holder" means...

27-8-12-4. "Insurance Policy" Defined - Sec. 4. As used in this chapter, "insurance policy" means...

27-8-12-4.5. "Long Term Care Facility" Defined - Sec. 4.5. As used in this chapter, "long term care...

27-8-12-5. "Long Term Care Insurance Policy" Defined - Sec. 5. (a) As used in this chapter, "long term...

27-8-12-6. Compliance With Statutory Requirements - Sec. 6. An insurance policy may be marketed, advertised, offered,...

27-8-12-7. Policy Disclosure Standards; Marketing Practices; Continuing Education; Penalties; Reporting Practices; Rules - Sec. 7. (a) The insurance commissioner shall adopt rules under...

27-8-12-7.1. Qualification of Long Term Care Policies; Rules - Sec. 7.1. The department of insurance shall adopt rules under...

27-8-12-8. Loss Ratio Standards Rule - Sec. 8. The insurance commissioner may not adopt a rule...

27-8-12-9. Termination of Policy on Grounds of Age or Deteriorated Health - Sec. 9. An insurer that issues a long term care...

27-8-12-10. "Preexisting Condition" Defined; Exclusion of Coverage; Limitations - Sec. 10. (a) As used in this section, "preexisting condition"...

27-8-12-10.5. Loss or Confinement Resulting From a Preexisting Condition; Exclusion of Coverage; Limitation Period; Rules - Sec. 10.5. (a) As used in this section, "preexisting condition"...

27-8-12-10.6. Conditions on Eligibility for Benefits; Restrictions - Sec. 10.6. (a) A long term care insurance policy may...

27-8-12-11. Establishment of New Waiting Period - Sec. 11. (a) A long term care insurance policy may...

27-8-12-12. No Obligation Return Period; Notice - Sec. 12. (a) An individual long term care insurance policyholder...

27-8-12-13. Direct Response Solicitation Issued Policies; No Obligation Return Period; Notice - Sec. 13. (a) A person insured under a long term...

27-8-12-14. Outline of Coverage; Contents - Sec. 14. (a) The insurer shall deliver an outline of...

27-8-12-14.5. Policy Summary; Requirements - Sec. 14.5. (a) A policy summary shall be delivered, at...

27-8-12-14.6. Benefits Funded Through Life Insurance by Acceleration of Death Benefits; Benefit Payment Status Report; Contents - Sec. 14.6. If a long term care benefit, funded through...

27-8-12-15. Group Policy Certificate; Contents - Sec. 15. A certificate issued under a group long term...

27-8-12-16. Application of General Insurance Law - Sec. 16. All other applicable provisions of IC 27 not...

27-8-12-17. Group Policies Issued in Another State; Requirements - Sec. 17. Group long term care insurance may not be...

27-8-12-18. Insurance Producer Commissions - Sec. 18. (a) An insurer or other entity that provides...

27-8-12-19. Violations; Civil Penalty; Amount - Sec. 19. (a) In addition to any other sanction provided...

Chapter 13. Medicare Supplement Insurance Solicitations

27-8-13-0.1. Application of Certain Amendments to Chapter - Sec. 0.1. The addition of section 10.1 of this chapter...

27-8-13-1. "Medicare" Defined - Sec. 1. As used in this chapter, "medicare" means Title...

27-8-13-2. "Medicare Supplement Insurance Solicitation" Defined - Sec. 2. As used in this chapter, "Medicare supplement insurance...

27-8-13-3. "Medicare Supplement Policy" - Sec. 3. (a) As used in this chapter, "Medicare supplement...

27-8-13-4. Receipt for Materials Received by Soliciting Insurance Producer; "Materials" Defined - Sec. 4. (a) Following a Medicare supplement insurance solicitation, an...

27-8-13-5. "Applicant" Defined - Sec. 5. As used in this chapter, "applicant" means: (1)...

27-8-13-6. "Certificate" Defined - Sec. 6. As used in this chapter, "certificate" means a...

27-8-13-6.2. "Certificate Form" Defined - Sec. 6.2. As used in this chapter, "certificate form" means...

27-8-13-7. Repealed - As added by P.L.255-1989, SEC.4. Repealed by P.L.126-1992, SEC.17.

27-8-13-7.3. "Issuer" Defined - Sec. 7.3. As used in this chapter, "issuer" includes: (1)...

27-8-13-7.6. "Policy Form" Defined - Sec. 7.6. As used in this chapter, "policy form" means...

27-8-13-8. Application of Chapter - Sec. 8. (a) Except as otherwise specifically provided, this chapter...

27-8-13-9. Medicare Supplement Policies; Standards; Preexisting Medical Conditions - Sec. 9. (a) A Medicare supplement policy, contract, or certificate...

27-8-13-9.5. Medicare Supplement Policy or Certificate Requirements; Enrollment; Compensation - Sec. 9.5. (a) This section applies: (1) after June 30,...

27-8-13-10. Medicare Supplement Policy and Certificate Standards; Conformity With Federal Law and Regulations - Sec. 10. (a) The commissioner shall adopt rules under IC...

27-8-13-10.1. Model Medicare Supplement Policy Standards - Sec. 10.1. (a) The commissioner shall adopt rules under IC...

27-8-13-11. Repealed - As added by P.L.255-1989, SEC.8. Repealed by P.L.126-1992, SEC.17.

27-8-13-12. Reasonable Benefits; Loss Ratio Standards - Sec. 12. (a) Medicare supplement policies must return to policyholders...

27-8-13-13. Repealed - As added by P.L.255-1989, SEC.10. Repealed by P.L.149-1990, SEC.6.

27-8-13-14. Outline of Coverage; Contents - Sec. 14. (a) In order to provide for full and...

27-8-13-15. Informational Brochures - Sec. 15. (a) The commissioner may prescribe by rule adopted...

27-8-13-16. Disclosures Distinguishing Medicare Supplement Coverages From Accident and Sickness Coverages - Sec. 16. (a) The commissioner may adopt rules under IC...

27-8-13-17. Return Privilege Notice; Refund - Sec. 17. (a) Medicare supplement policies and certificates must have...

27-8-13-18. Review and Approval of Proposed Advertisements - Sec. 18. Every issuer of Medicare supplement insurance policies or...

27-8-13-19. Penalties for Noncompliance - Sec. 19. In addition to any other penalties for violations...

27-8-13-20. Refund of Unused Premiums - Sec. 20. (a) All Medicare supplement policies issued for delivery...

Chapter 13.4. Coverage for Abortion

27-8-13.4-1. "Accident and Sickness Insurance Policy" - Sec. 1. (a) As used in this chapter, "accident and...

27-8-13.4-2. Prohibition on Coverage of Abortion; Exceptions; Coverage Through Rider or Endorsement - Sec. 2. (a) An accident and sickness insurance policy that...

Chapter 13.5. Coverage for Medical Services for Women With High Breast Density

27-8-13.5-1. Application of Chapter - Sec. 1. This chapter applies to a policy of accident...

27-8-13.5-2. "High Breast Density" - Sec. 2. As used in this chapter, "high breast density"...

27-8-13.5-3. "Insured" - Sec. 3. As used in this chapter, "insured" means an...

27-8-13.5-4. "Policy of Accident and Sickness Insurance" - Sec. 4. As used in this chapter, "policy of accident...

27-8-13.5-5. High Breast Density - Sec. 5. A policy of accident and sickness insurance must...

Chapter 14. Coverage for Services Related to Breast Cancer Screening

27-8-14-0.1. Application of Chapter; Application of Certain Amendments to Chapter - Sec. 0.1. (a) The addition of this chapter and the...

27-8-14-1. "Accident and Sickness Insurance Policy" - Sec. 1. (a) As used in this chapter, "accident and...

27-8-14-2. "Breast Cancer Screening Mammography" - Sec. 2. (a) As used in this chapter, "breast cancer...

27-8-14-3. "Insured" - Sec. 3. As used in this chapter, "insured" means an...

27-8-14-4. "Mammography Services Provider" - Sec. 4. As used in this chapter, "mammography services provider"...

27-8-14-5. "Woman at Risk" - Sec. 5. As used in this chapter, "woman at risk"...

27-8-14-6. Breast Cancer Screening Mammography; Coverage - Sec. 6. (a) Except as provided in subsection (f), an...

Chapter 14.1. Coverage for Services Related to Morbid Obesity

27-8-14.1-0.1. Application of Certain Amendments to Chapter - Sec. 0.1. The amendments made to section 4 of this...

27-8-14.1-1. "Accident and Sickness Insurance Policy" - Sec. 1. (a) As used in this chapter, "accident and...

27-8-14.1-2. "Health Care Provider" Defined - Sec. 2. As used in this chapter, "health care provider"...

27-8-14.1-3. "Morbid Obesity" Defined - Sec. 3. As used in this chapter, "morbid obesity" means:...

27-8-14.1-4. Coverage for Nonexperimental, Surgical Treatment of Morbid Obesity - Sec. 4. (a) Except as provided in subsection (b), an...

Chapter 14.2. Insurance Coverage for Pervasive Developmental Disorders

27-8-14.2-1. "Accident and Sickness Insurance Policy" - Sec. 1. (a) As used in this chapter, "accident and...

27-8-14.2-2. "Insured" Defined - Sec. 2. As used in this chapter, "insured" means an...

27-8-14.2-3. "Autism Spectrum Disorder" - Sec. 3. As used in this chapter, "autism spectrum disorder"...

27-8-14.2-4. Group Coverage Required - Sec. 4. (a) An accident and sickness insurance policy that...

27-8-14.2-5. Individual Coverage Required - Sec. 5. (a) An insurer that issues an accident and...

Chapter 14.5. Coverage for Services Related to Diabetes

27-8-14.5-0.1. Application of Chapter - Sec. 0.1. The addition of this chapter by P.L.190-1997 applies...

27-8-14.5-1. "Health Insurance Plan" - Sec. 1. (a) As used in this chapter, "health insurance...

27-8-14.5-2. "Insured" Defined - Sec. 2. As used in this chapter, "insured" refers to...

27-8-14.5-3. "Insurer" Defined - Sec. 3. As used in this chapter, "insurer" means any...

27-8-14.5-4. Coverage for Treatments, Supplies, and Equipment - Sec. 4. A health insurance plan issued by an insurer...

27-8-14.5-5. Deductible, Copayment, and Coinsurance Provisions - Sec. 5. (a) An insured may not be required to...

27-8-14.5-6. Coverage for Diabetes Self-Management Training - Sec. 6. (a) A health insurance plan issued by an...

27-8-14.5-7. Adoption of Rules - Sec. 7. The department may adopt rules under IC 4-22-2...

Chapter 14.7. Coverage for Services Related to Prostate Cancer Screening

27-8-14.7-0.1. Application of Chapter - Sec. 0.1. The addition of this chapter by P.L.170-1999 applies...

27-8-14.7-1. "Accident and Sickness Insurance Policy" - Sec. 1. (a) As used in this chapter, "accident and...

27-8-14.7-2. "Insured" Defined - Sec. 2. As used in this chapter, "insured" means a...

27-8-14.7-3. "Prostate Specific Antigen Test" Defined - Sec. 3. As used in this chapter, "prostate specific antigen...

27-8-14.7-4. Coverage Required - Sec. 4. (a) Except as provided in subsection (f), an...

Chapter 14.8. Coverage for Services Related to Colorectal Cancer Screening

27-8-14.8-1. "Accident and Sickness Insurance Policy" - Sec. 1. (a) As used in this chapter, "accident and...

27-8-14.8-2. "Insured" Defined - Sec. 2. As used in this chapter, "insured" means an...

27-8-14.8-3. Coverage for Colorectal Cancer Screening; Exception for Grandfathered Health Plans - Sec. 3. (a) As used in this section, "follow-up colonoscopy"...

Chapter 15. Small Employer Group Health Insurance

27-8-15-0.1. Application of Certain Amendments to Chapter - Sec. 0.1. The following amendments to this chapter apply as...

27-8-15-1. Application of Chapter - Sec. 1. This chapter applies to any group health insurance...

27-8-15-2. Repealed - As added by P.L.127-1992, SEC.1. Repealed by P.L.11-2011, SEC.46.

27-8-15-3. "Actuarial Certification" - Sec. 3. As used in this chapter, "actuarial certification" means...

27-8-15-4. "Base Premium Rate" - Sec. 4. As used in this chapter, "base premium rate"...

27-8-15-5. "Benefit Design Characteristics" - Sec. 5. As used in this chapter, "benefit design characteristics"...

27-8-15-6. "Case Characteristics" - Sec. 6. As used in this chapter, "case characteristics" means...

27-8-15-7. "Commissioner" - Sec. 7. As used in this chapter, "commissioner" refers to...

27-8-15-8. "Department" - Sec. 8. As used in this chapter, "department" refers to...

27-8-15-8.5. "Eligible Employee" - Sec. 8.5. (a) As used in this chapter, "eligible employee"...

27-8-15-9. "Health Insurance Plan" - Sec. 9. (a) Except as provided in section 28 of...

27-8-15-10. "Insurer" - Sec. 10. As used in this chapter, "insurer" means any...

27-8-15-10.5. "Late Enrollee" - Sec. 10.5. (a) As used in this chapter, "late enrollee"...

27-8-15-11. "Midpoint Rate" - Sec. 11. As used in this chapter, "midpoint rate" means...

27-8-15-12. "New Business Premium Rate" - Sec. 12. As used in this chapter, "new business premium...

27-8-15-13. "Rating Period" - Sec. 13. As used in this chapter, "rating period" means...

27-8-15-14. "Small Employer" - Sec. 14. (a) This subsection applies only with respect to...

27-8-15-15. "Small Employer Insurer" - Sec. 15. As used in this chapter, "small employer insurer"...

27-8-15-16. Premium Rates - Sec. 16. Premium rates for a health insurance plan are...

27-8-15-17. Rating Factors - Sec. 17. (a) This chapter is not intended to affect...

27-8-15-18. Offer to Transfer - Sec. 18. A small employer insurer may not offer to...

27-8-15-19. Cancellation or Refusal of Renewal of Plans - Sec. 19. Except as provided in section 20 of this...

27-8-15-20. Renewal Cessation; Notice - Sec. 20. (a) A small employer insurer may cease to...

27-8-15-21. Renewal Cessation; Prohibitions - Sec. 21. (a) An insurer who ceases to renew all...

27-8-15-22. Disclosure of Premium Rate Changes - Sec. 22. Each small employer insurer shall make reasonable disclosure...

27-8-15-23. Maintenance of Rating and Renewal Practice Information and Documentation - Sec. 23. Each small employer insurer shall maintain for three...

27-8-15-24. Maintenance of Actuarial Certification; Submission to Department - Sec. 24. (a) Each small employer insurer shall maintain an...

27-8-15-25. Availability of Information and Documentation to Commissioner; Disclosure by Commissioner - Sec. 25. A small employer insurer shall make the information...

27-8-15-26. Suspension of Premium Rate Provisions - Sec. 26. The commissioner may suspend all or any part...

27-8-15-27. Application in Conformity With Act; Compliance - Sec. 27. (a) This section shall be applied in conformity...

27-8-15-28. Waiver of Exclusion and Limitation Period - Sec. 28. (a) As used in this section, "health insurance...

27-8-15-29. Application in Conformity With Act; Exclusion of Coverage - Sec. 29. (a) This section shall be applied in conformity...

27-8-15-30. Plan Modifications Prohibited - Sec. 30. Except as permitted under sections 27 and 29...

27-8-15-31. Conversion Policy - Sec. 31. (a) If an eligible employee who has been...

27-8-15-31.1. Continuing Coverage - Sec. 31.1. (a) This section becomes effective on the effective...

27-8-15-32. Employees Becoming Eligible After Employer's Commencement of Health Insurance Plan Entitled to Coverage - Sec. 32. (a) If an individual: (1) becomes an eligible...

27-8-15-33. Mandatory Coverage by Employer Insurer to All Employer's Eligible Employees and Employees' Dependents; Employees Declining Coverage; Minimum Participation and Contribution Requirements - Sec. 33. (a) If a small employer insurer offers coverage...

27-8-15-34. Repealed - As added by P.L.93-1995, SEC.23. Repealed by P.L.91-1998, SEC.24.

27-8-15-34.1. All Products Required to Be Offered; All Employers Required to Be Accepted - Sec. 34.1. Except as provided in 29 U.S.C. 1191a and...

Chapter 15.5. Repealed - Repealed by P.L.286-2019, SEC.6.

Chapter 16. Medical Claims Review

27-8-16-0.5. Applicability of Chapter - Sec. 0.5. (a) This chapter applies to the following: (1)...

27-8-16-1. "Claim Review Agent" Defined - Sec. 1. (a) As used in this chapter, "claim review...

27-8-16-1.5. "Claim Review Consultant" Defined - Sec. 1.5. (a) As used in this chapter, "claim review...

27-8-16-2. "Department" Defined - Sec. 2. As used in this chapter, "department" refers to...

27-8-16-3. "Enrollee" Defined - Sec. 3. As used in this chapter, "enrollee" means an...

27-8-16-4. "Medical Claims Review" Defined - Sec. 4. (a) As used in this chapter, "medical claims...

27-8-16-4.5. "Person" Defined - Sec. 4.5. As used in this chapter, "person" means an...

27-8-16-5. Certificate of Registration; Issuance to Agent - Sec. 5. (a) A claim review agent may not conduct...

27-8-16-5.2. Certificate of Registration; Application; Requirements; Application Fee - Sec. 5.2. (a) A person may not act as a...

27-8-16-6. Certificate of Registration; Renewal; Transfer; Notice of Change in Information - Sec. 6. (a) To remain in effect, a certificate of...

27-8-16-7. Minimum Claim Review Agent Requirements - Sec. 7. A claim review agent must satisfy the following...

27-8-16-8. Appeals Procedure; Written Description; Minimum Standards; Notice of Appeal Procedure on Limitation or Reduction of Benefits - Sec. 8. (a) An insurance company, a health maintenance organization,...

27-8-16-9. Provider's Statement; Documentation of Review Agent Capability - Sec. 9. To provide documentation demonstrating that a claim review...

27-8-16-9.5. Claim Determinations Based on Data Base Information - Sec. 9.5. (a) As used in this section, "data base"...

27-8-16-10. Fraudulent or Misleading Information; Penalties - Sec. 10. A provider, an enrollee, or an agent of...

27-8-16-11. Prohibited Bases for Compensation of Claim Review Agents and Consultants - Sec. 11. (a) The compensation of a claim review agent...

27-8-16-12. Violations; Claims Review Agent; Notice; Cease and Desist Orders; Penalties; Revocation or Suspension of Registration; Review - Sec. 12. (a) If the department believes that a claim...

27-8-16-13. Confidential Information - Sec. 13. (a) This chapter does not require a claim...

27-8-16-14. Rules - Sec. 14. The department shall adopt rules under IC 4-22-2...

Chapter 17. Health Care Utilization Review

27-8-17-1. "Covered Individual" Defined - Sec. 1. As used in this chapter, "covered individual" means:...

27-8-17-2. "Department" Defined - Sec. 2. As used in this chapter, "department" refers to...

27-8-17-3. "Enrollee" Defined - Sec. 3. As used in this chapter, "enrollee" means an...

27-8-17-4. "Health Maintenance Organization" Defined - Sec. 4. As used in this chapter, "health maintenance organization"...

27-8-17-5. "Provider of Record" Defined - Sec. 5. As used in this chapter, "provider of record"...

27-8-17-6. "Utilization Review" Defined - Sec. 6. (a) As used in this chapter, "utilization review"...

27-8-17-7. "Utilization Review Agent" Defined - Sec. 7. (a) As used in this chapter, "utilization review...

27-8-17-8. "Utilization Review Determination" Defined - Sec. 8. (a) As used in this chapter, "utilization review...

27-8-17-9. Certificate of Registration; Issuance to Agent - Sec. 9. (a) A utilization review agent may not conduct...

27-8-17-10. Certificate of Registration; Renewal; Transfer; Notice of Change in Information - Sec. 10. (a) To remain in effect, a certificate of...

27-8-17-11. Minimum Utilization Review Agent Requirements - Sec. 11. A utilization review agent must satisfy the following...

27-8-17-12. Appeals Procedure - Sec. 12. (a) A utilization review agent shall make available...

27-8-17-13. Physician's Statement; Documentation of Review Agent Capability - Sec. 13. To provide documentation demonstrating that a utilization review...

27-8-17-14. Accreditation and Approval of Review Agent; Determination; New Certificate of Registration; Order to Cease Activities - Sec. 14. (a) The department may, according to the rules...

27-8-17-15. Certification of Admission, Service, or Procedure; Enrollee Request; Notice and Information; Assistance; Denial Under Terms of Benefit Program - Sec. 15. (a) The following requirements apply to an enrollee's...

27-8-17-16. Fraudulent or Misleading Information; Penalties - Sec. 16. A provider of record, an enrollee, or the...

27-8-17-17. Violations; Notice to Agent; Cease and Desist Orders; Penalties; Revocation or Suspension of Registration; Review - Sec. 17. (a) If the department believes that a utilization...

27-8-17-18. Confidential Information - Sec. 18. (a) This chapter does not require a utilization...

27-8-17-19. Prohibited Bases for Compensation of Agent - Sec. 19. The compensation of a utilization review agent for...

27-8-17-20. Rules - Sec. 20. The department shall adopt rules under IC 4-22-2...

Chapter 18. Charitable Entity's Insurable Interest in Life of Donor

27-8-18-1. Application of Chapter - Sec. 1. This chapter applies to every life insurance policy...

27-8-18-2. "Charitable Entity" - Sec. 2. As used in this chapter, "charitable entity" means...

27-8-18-3. "Life Insurance Policy" - Sec. 3. As used in this chapter, "life insurance policy"...

27-8-18-4. Purchase, Ownership, or Transfer of Ownership; Consent; Insurable Interest - Sec. 4. (a) A charitable entity may: (1) purchase; (2)...

27-8-18-5. Inquiry Into Legal Status of Charitable Entity - Sec. 5. A life insurance company that is requested to:...

27-8-18-6. Reliance on Good Faith Representations - Sec. 6. A life insurance company is entitled to rely...

Chapter 19. Repealed - [Pre-1993 Title 16 Recodification Citations: Repealed by P.L.1-1994, SEC.137.

Chapter 19.8. Viatical Settlements

27-8-19.8-1. "Applicant" Defined - Sec. 1. As used in this chapter, "applicant" refers to...

27-8-19.8-2. "Department" Defined - Sec. 2. As used in this chapter, "department" refers to...

27-8-19.8-3. "Insured" Defined - Sec. 3. As used in this chapter, "insured" refers to...

27-8-19.8-4. Repealed - As added by P.L.130-1994, SEC.47 and P.L.116-1994, SEC.70. Repealed by...

27-8-19.8-4.3. "Viatical Settlement Agent" Defined - Sec. 4.3. As used in this chapter, "viatical settlement agent"...

27-8-19.8-4.5. "Viatical Settlement Broker" Defined - Sec. 4.5. As used in this chapter, "viatical settlement broker"...

27-8-19.8-5. "Viatical Settlement Provider" Defined - Sec. 5. (a) As used in this chapter, "viatical settlement...

27-8-19.8-6. "Viatical Settlement Contract" Defined - Sec. 6. As used in this chapter, "viatical settlement contract"...

27-8-19.8-6.5. "Viaticated Policy" Defined - Sec. 6.5. As used in this chapter, "viaticated policy" means...

27-8-19.8-7. "Person" Defined - Sec. 7. As used in this chapter, "person" means an...

27-8-19.8-7.8. "Stranger Originated Life Insurance" Defined - Sec. 7.8. (a) As used in this chapter, "stranger originated...

27-8-19.8-8. "Viator" Defined - Sec. 8. As used in this chapter, "viator" refers to...

27-8-19.8-8.5. Persons Required to Be Licensed as Insurance Producer With Life Qualification - Sec. 8.5. The following must be licensed as an insurance...

27-8-19.8-8.6. Exemptions From Licensing Requirement - Sec. 8.6. The following are exempt from the licensing requirement...

27-8-19.8-8.7. Fiduciary Duties of Viatical Settlement Brokers - Sec. 8.7. A viatical settlement broker: (1) represents only the...

27-8-19.8-9. License Required for Viatical Settlement Providers - Sec. 9. After December 31, 1998, a person may not...

27-8-19.8-9.2. Insurance Producer Remuneration - Sec. 9.2. An insurance producer that: (1) is licensed under...

27-8-19.8-10. Application and Fee for License - Sec. 10. (a) An applicant must do the following to...

27-8-19.8-11. Investigation of Applicant; Issuance of License - Sec. 11. The department shall investigate an applicant and issue...

27-8-19.8-12. Refusal to Issue License - Sec. 12. The department may refuse to issue a license...

27-8-19.8-13. Nonresident Licenses - Sec. 13. The department may not issue a license to...

27-8-19.8-14. Individuals Authorized to Act as Viatical Settlement Benefits Providers - Sec. 14. A license issued under this chapter authorizes all...

27-8-19.8-15. Expiration and Renewal of License - Sec. 15. (a) A license issued or renewed under this...

27-8-19.8-16. Disclosure of Identity of Individuals Associated With Viatical Settlement Providers - Sec. 16. The department may at any time require a...

27-8-19.8-17. Annual Reports - Sec. 17. (a) A viatical settlement provider shall file with...

27-8-19.8-18. Examination of Viatical Settlement Provider or Applicant - Sec. 18. (a) When the department reasonably considers it necessary...

27-8-19.8-19. Suspension, Revocation, or Refusal to Renew License - Sec. 19. After a hearing under IC 4-21.5, the department...

27-8-19.8-20. Repealed - As added by P.L.130-1994, SEC.47 and P.L.116-1994, SEC.70. Repealed by...

27-8-19.8-20.1. Stranger Originated Life Insurance; Prohibition - Sec. 20.1. (a) A person shall not issue, solicit, market,...

27-8-19.8-21. Required Terms of Viatical Settlement Contract - Sec. 21. (a) A viatical settlement contract must establish the...

27-8-19.8-22. Form for Viatical Settlement Contract - Sec. 22. (a) A person may not use a viatical...

27-8-19.8-23. Required Disclosures to Viator; Information to Insured - Sec. 23. (a) A viatical settlement provider or viatical settlement...

27-8-19.8-24. Prerequisites to Viatical Settlement Contract - Sec. 24. A viatical settlement provider shall obtain the following...

27-8-19.8-24.2. Payment of Proceeds of Settlement to Trust or Escrow Account; Transfer of Proceeds of Settlement to Viator - Sec. 24.2. (a) Immediately upon a viatical settlement provider's receipt...

27-8-19.8-24.7. Disclosure of Identity of Viator - Sec. 24.7. Except as otherwise provided by law, a person...

27-8-19.8-24.8. Applicability of Ic 16-39 to Release of Insured's Medical Records - Sec. 24.8. IC 16-39 applies to the release of an...

27-8-19.8-24.9. Contacts With Insured for Purpose of Determining Health Status - Sec. 24.9. (a) The viatical settlement provider or viatical settlement...

27-8-19.8-25. Standards for Evaluation of Reasonableness of Payments Under Viatical Settlement Contract - Sec. 25. The department may adopt rules under IC 4-22-2...

27-8-19.8-26. Adoption of Rules - Sec. 26. The department may adopt rules under IC 4-22-2...

Chapter 20. Reimbursement for Off Label Drug Treatment

27-8-20-0.1. Application of Chapter - Sec. 0.1. The addition of this chapter by P.L.277-1993(ss) applies...

27-8-20-1. "Commissioner" Defined - Sec. 1. As used in this chapter, "commissioner" refers to...

27-8-20-2. "Drug" Defined - Sec. 2. As used in this chapter, "drug" means a...

27-8-20-3. "Insurance Policy" Defined - Sec. 3. As used in this chapter, "insurance policy" means...

27-8-20-4. "Off Label Use" Defined - Sec. 4. As used in this chapter, "off label use"...

27-8-20-5. "Health Maintenance Organization" Defined - Sec. 5. As used in this chapter, "health maintenance organization"...

27-8-20-6. "Standard Reference Compendium" Defined - Sec. 6. As used in this chapter, "standard reference compendium"...

27-8-20-7. Exclusion of Coverage for Drugs Not Approved by the Fda; Limitations - Sec. 7. An insurance policy or a health maintenance organization...

27-8-20-8. Enforcement of Chapter - Sec. 8. The commissioner has the authority to enforce this...

27-8-20-9. Drugs Not Requiring Coverage; Drug's Use Contraindicated; Experimental Drugs; Alteration of Laws Limiting Coverage on Drugs Not Approved by the Fda - Sec. 9. This chapter does not do any of the...

Chapter 21. Advertisements Concerning Interest Rate Guarantees

27-8-21-1. Applicability of Chapter - Sec. 1. This chapter applies to an advertisement that is...

27-8-21-2. Statement of Period of Interest Rate Guarantee Required - Sec. 2. An advertisement that refers to an interest rate...

27-8-21-3. Violation an Unfair or Deceptive Act or Practice - Sec. 3. The presentation to the general public of an...

Chapter 22. Patient Billing

27-8-22-1. "Health Care Provider" Defined - Sec. 1. As used in this chapter, "health care provider"...

27-8-22-2. "Claim Information" Defined - Sec. 2. As used in this chapter, "claim information" means...

27-8-22-3. "Representative" Defined - Sec. 3. As used in this chapter, "representative" has the...

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Indiana Code Title 27. Insurance Article 8. Life, Accident, and Health

Indiana Code
Title 27. Insurance
Article 8. Life, Accident, and Health