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

27-8-24-5. Conditions Warranting Shorter Period of Inpatient Care; At-Home Postdelivery Care Visit - Sec. 5. (a) If the patients’ attending physician determines further...

Chapter 24.1. Coverage for Treatment of Inherited Metabolic Disease

27-8-24.1-0.1. Application of Chapter - Sec. 0.1. The addition of this chapter by P.L.166-2003 applies...

27-8-24.1-1. "Accident and Sickness Insurance Policy" - Sec. 1. (a) As used in this chapter, "accident and...

27-8-24.1-2. "Covered Individual" - Sec. 2. As used in this chapter, "covered individual" means...

27-8-24.1-3. "Inherited Metabolic Disease" - Sec. 3. As used in this chapter, "inherited metabolic disease"...

27-8-24.1-4. "Medical Food" - Sec. 4. As used in this chapter, "medical food" means...

27-8-24.1-5. Coverage for Medical Food - Sec. 5. An accident and sickness insurance policy must provide...

27-8-24.1-6. Dollar Limits, Out-of-Pocket Expenses - Sec. 6. The coverage that must be provided under this...

Chapter 24.2. Coverage for Prosthetic Devices

27-8-24.2-0.1. Application of Chapter - Sec. 0.1. The addition of this chapter by P.L.109-2008 applies...

27-8-24.2-1. "Insured" - Sec. 1. As used in this chapter, "insured" means an...

27-8-24.2-2. "Orthotic Device" - Sec. 2. As used in this chapter, "orthotic device" means...

27-8-24.2-3. "Policy of Accident and Sickness Insurance" - Sec. 3. (a) As used in this chapter, "policy of...

27-8-24.2-4. "Prosthetic Device" - Sec. 4. As used in this chapter, "prosthetic device" means...

27-8-24.2-5. Coverage Required - Sec. 5. A policy of accident and sickness insurance must...

27-8-24.2-6. Coverage and Reimbursement - Sec. 6. The: (1) coverage required under section 5 of...

27-8-24.2-7. Comparison to Other Benefits - Sec. 7. Except as provided in sections 8 and 9...

27-8-24.2-8. Continued Medical Necessity Review - Sec. 8. The coverage required under section 5 of this...

27-8-24.2-9. Lifetime Maximum Coverage Limitation - Sec. 9. Any lifetime maximum coverage limitation that applies to...

27-8-24.2-10. Deductible, Copayment, or Coinsurance Requirements - Sec. 10. For purposes of this section, "items and services"...

Chapter 24.3. Insurance and Health Plan Coverage for Victims of Abuse

27-8-24.3-0.1. Application of Chapter - Sec. 0.1. The addition of this chapter by P.L.188-1996 applies...

27-8-24.3-1. Applicability of Chapter - Sec. 1. This chapter applies to every: (1) policy of...

27-8-24.3-2. "Abuse" Defined - Sec. 2. As used in this chapter, "abuse" refers to...

27-8-24.3-3. "Individual" Defined - Sec. 3. As used in this chapter, "individual" means a...

27-8-24.3-4. "An Insurance Policy or a Health Plan" Defined - Sec. 4. As used in this chapter, "an insurance policy...

27-8-24.3-5. "Insurer" Defined - Sec. 5. As used in this chapter, "insurer" means a...

27-8-24.3-6. Prohibited Acts by Insurer - Sec. 6. Except as provided in sections 7 and 8...

27-8-24.3-7. Insurer May Adjust Premiums - Sec. 7. This chapter does not prohibit an insurer from...

27-8-24.3-8. Underwriting or Rating Risk on Basis of Physical or Mental Condition Caused by Abuse - Sec. 8. This chapter does not prohibit an insurer from...

27-8-24.3-9. Violations - Sec. 9. A violation of this chapter is an unfair...

27-8-24.3-10. Immunity From Liability - Sec. 10. An insurer is immune from civil and criminal...

Chapter 24.7. Referrals to Women's Health Care Providers

27-8-24.7-1. "Health Insurance Policy" Defined - Sec. 1. As used in this chapter, "health insurance policy"...

27-8-24.7-2. "Health Insurer" Defined - Sec. 2. As used in this chapter, "health insurer" means...

27-8-24.7-3. "Insured" Defined - Sec. 3. As used in this chapter, "insured" means an...

27-8-24.7-4. "Women's Health Care Provider" Defined - Sec. 4. As used in this chapter, "women's health care...

27-8-24.7-5. Designation of Women's Health Care Provider as Primary Care Provider - Sec. 5. Under a health insurance policy that is issued,...

Chapter 25. Coverage for Care Related to Clinical Trials

27-8-25-1. "Care Method" - Sec. 1. As used in this chapter, "care method" means...

27-8-25-2. "Clinical Trial" - Sec. 2. As used in this chapter, "clinical trial" means...

27-8-25-3. "Contracted Provider" - Sec. 3. As used in this chapter, "contracted provider" means...

27-8-25-4. "Covered Individual" - Sec. 4. As used in this chapter, "covered individual" means...

27-8-25-5. "Noncontracted Provider" - Sec. 5. As used in this chapter, "noncontracted provider" means...

27-8-25-6. "Policy of Accident and Sickness Insurance" - Sec. 6. As used in this chapter, "policy of accident...

27-8-25-7. "Routine Care Cost" - Sec. 7. As used in this chapter, "routine care cost"...

27-8-25-8. Coverage for Routine Care Costs - Sec. 8. (a) A policy of accident and sickness insurance...

27-8-25-9. No Cause of Action Created by Chapter - Sec. 9. This chapter does not create a cause of...

Chapter 26. Genetic Screening or Testing

27-8-26-0.1. Application of Chapter - Sec. 0.1. The addition of this chapter by P.L.150-1997 applies...

27-8-26-1. Applicability of Chapter - Sec. 1. (a) This chapter applies to the following: (1)...

27-8-26-2. "Genetic Screening or Testing" Defined - Sec. 2. (a) As used in this chapter, "genetic screening...

27-8-26-3. "Health Care Services Coverage" Defined - Sec. 3. As used in this chapter, "health care services...

27-8-26-4. "Insurer" Defined - Sec. 4. As used in this chapter, "insurer" means a...

27-8-26-5. Determination of Eligibility for Health Care Services Coverage by Insurer; Prohibitions - Sec. 5. In processing an application for health care services...

27-8-26-6. Questions by Insurer Regarding Genetic Screening or Testing Results Prohibited - Sec. 6. In developing and asking questions regarding the medical...

27-8-26-7. Refusal of Health Care Services Coverage Based on Genetic Screening or Testing Results Prohibited - Sec. 7. An insurer may not cancel, refuse to issue,...

27-8-26-8. Limitation of Benefits or Establishment of Premiums Based on Genetic Screening or Testing Results Prohibited - Sec. 8. An insurer may not deliver, issue for delivery,...

27-8-26-9. Consideration of Genetic Screening or Testing Results by Insurer - Sec. 9. An insurer may consider the results of genetic...

27-8-26-10. Enforcement of Chapter; Rules - Sec. 10. (a) The commissioner shall enforce this chapter. (b)...

27-8-26-11. Violation Unfair and Deceptive Act or Practice - Sec. 11. A violation of this chapter is an unfair...

Chapter 27. Coverage for Services to Infants and Toddlers With Disabilities

27-8-27-1. "Early Intervention Services" Defined - Sec. 1. For purposes of this chapter, "early intervention services"...

27-8-27-2. "First Steps Child" Defined - Sec. 2. For purposes of this chapter, "first steps child"...

27-8-27-3. "First Steps Program" Defined - Sec. 3. As used in this chapter, "first steps program"...

27-8-27-4. "Health Insurance Plan" - Sec. 4. (a) For purposes of this chapter, "health insurance...

27-8-27-5. "Insured" Defined - Sec. 5. As used in this chapter, "insured" means an...

27-8-27-6. Reimbursement of First Steps Program for Early Intervention Services Payments - Sec. 6. (a) A health insurance plan that provides coverage...

27-8-27-7. Repealed - As added by P.L.121-1999, SEC.13. Repealed by P.L.246-2005, SEC.231.

27-8-27-8. Reimbursement Not to Be Applied to Lifetime Coverage Limit - Sec. 8. The reimbursement required under section 6 of this...

27-8-27-9. Payment of Deductibles, Copayments, or Other Expenses - Sec. 9. The first steps program may pay required deductibles,...

Chapter 28. Internal Grievance Procedures

27-8-28-1. "Accident and Sickness Insurance Policy" - Sec. 1. (a) As used in this chapter, "accident and...

27-8-28-2. "Commissioner" - Sec. 2. As used in this chapter, "commissioner" refers to...

27-8-28-3. "Covered Individual" - Sec. 3. As used in this chapter, "covered individual" means...

27-8-28-4. "Department" - Sec. 4. As used in this chapter, "department" refers to...

27-8-28-5. "External Grievance" - Sec. 5. As used in this chapter, "external grievance" means...

27-8-28-6. "Grievance" - Sec. 6. As used in this chapter, "grievance" means any...

27-8-28-7. "Grievance Procedure" - Sec. 7. As used in this chapter, "grievance procedure" means...

27-8-28-8. "Insured" - Sec. 8. As used in this chapter, "insured" means: (1)...

27-8-28-9. "Insurer" - Sec. 9. As used in this chapter, "insurer" means any...

27-8-28-10. Grievance Procedure to Comply With Chapter Requirements - Sec. 10. An insurer shall establish and maintain a grievance...

27-8-28-11. Commissioner May Examine Procedure - Sec. 11. The commissioner may examine the grievance procedure of...

27-8-28-12. Grievance Records - Sec. 12. An insurer shall maintain all grievance records received...

27-8-28-13. Notice of Grievance Related Information - Sec. 13. (a) An insurer shall provide, at the request...

27-8-28-14. Filing Grievance; Toll Free Number - Sec. 14. (a) A covered individual may file a grievance...

27-8-28-15. Assistance in Filing Grievance; Designation of Representative - Sec. 15. (a) An insurer shall establish procedures to assist...

27-8-28-16. Policies and Procedures for Timely Resolution of Grievances - Sec. 16. (a) An insurer shall establish written policies and...

27-8-28-17. Policies and Procedures for Timely Resolution of Appeals of Grievance Decisions; Filing of Report for Violation - Sec. 17. (a) An insurer shall establish written policies and...

27-8-28-18. Insurer Prohibited From Taking Action - Sec. 18. An insurer may not take action against a...

27-8-28-19. Grievance Procedure Filing; Complaint Analysis and Reporting - Sec. 19. (a) An insurer shall each year file with...

27-8-28-20. Adoption of Rules - Sec. 20. The department may adopt rules under IC 4-22-2...

Chapter 29. External Review of Grievances

27-8-29-1. "Accident and Sickness Insurance Policy" Defined - Sec. 1. As used in this chapter, "accident and sickness...

27-8-29-2. "Appeal" Defined - Sec. 2. As used in this chapter, "appeal" means the...

27-8-29-3. "Commissioner" Defined - Sec. 3. As used in this chapter, "commissioner" refers to...

27-8-29-4. "Covered Individual" Defined - Sec. 4. As used in this chapter, "covered individual" has...

27-8-29-5. "Department" Defined - Sec. 5. As used in this chapter, "department" refers to...

27-8-29-6. "External Grievance" Defined - Sec. 6. As used in this chapter, "external grievance" means...

27-8-29-7. "Grievance" Defined - Sec. 7. As used in this chapter, "grievance" has the...

27-8-29-8. "Grievance Procedure" Defined - Sec. 8. As used in this chapter, "grievance procedure" has...

27-8-29-9. "Health Care Provider" Defined - Sec. 9. As used in this chapter, "health care provider"...

27-8-29-10. "Insured" Defined - Sec. 10. As used in this chapter, "insured" has the...

27-8-29-11. "Insurer" Defined - Sec. 11. As used in this chapter, "insurer" has the...

27-8-29-12. Insurer to Establish External Grievance Procedures - Sec. 12. An insurer shall establish and maintain an external...

27-8-29-13. Requirements for External Grievance Procedure; Independent Review Organizations - Sec. 13. (a) An external grievance procedure established under section...

27-8-29-14. Rights of Individuals Who File Grievances - Sec. 14. (a) A covered individual who files an external...

27-8-29-15. Independent Review Organizations; Determinations - Sec. 15. (a) An independent review organization shall: (1) for...

27-8-29-15.5. Information From Independent Review Organization - Sec. 15.5. Upon the request of a covered individual who...

27-8-29-16. Binding Determinations - Sec. 16. A determination made under section 15 of this...

27-8-29-17. Reconsideration of Resolution by Insurer - Sec. 17. (a) If, at any time during an external...

27-8-29-18. Applicability of Chapter - Sec. 18. This chapter does not add to or otherwise...

27-8-29-19. Annual Certifications of Independent Review Organizations - Sec. 19. (a) The department shall establish and maintain a...

27-8-29-20. Documents of Review Organizations - Sec. 20. Except as provided in section 19(g) of this...

27-8-29-21. Filing Description of Grievance Procedure - Sec. 21. (a) An insurer shall each year file with...

27-8-29-22. Immunity From Civil Liability; Work Product or Determination - Sec. 22. (a) An independent review organization is immune from...

27-8-29-23. Medicare - Sec. 23. If a covered individual has the right to...

27-8-29-24. Rules - Sec. 24. The department may adopt rules under IC 4-22-2...

Chapter 30. Specific Accident and Sickness Insurance Reporting Requirements

27-8-30-1. "Accident and Sickness Insurance Policy" Defined - Sec. 1. As used in this chapter, "accident and sickness...

27-8-30-2. "Covered Individual" Defined - Sec. 2. As used in this chapter, "covered individual" means...

27-8-30-3. Allowing an Insurer to Report the Number of Covered Children Who Are Prescribed a Stimulant Medication for the Treatment of Certain Disorders - Sec. 3. An insurer that issues an accident and sickness...

Chapter 31. Interstate Insurance Product Regulation Compact

27-8-31-1. Purpose - Sec. 1. The purposes of this compact are, through means...

27-8-31-2. Definitions - Sec. 2. (a) The definitions in this section apply throughout...

27-8-31-3. Interstate Insurance Product Regulation Commission - Sec. 3. (a) The compacting states hereby establish a joint...

27-8-31-4. Commission Powers - Sec. 4. The commission has the following powers: (1) To...

27-8-31-5. Commission Members; Action; Bylaws - Sec. 5. (a) Each compacting state shall have and be...

27-8-31-6. Management Committee; Legislative Committee; Liability - Sec. 6. (a) A management committee comprising not more than...

27-8-31-7. Commission Action - Sec. 7. (a) The commission shall meet and take any...

27-8-31-8. Rules; Uniform Standards; Opting Out; Judicial Review - Sec. 8. (a) The commission shall adopt reasonable rules, including...

27-8-31-9. Commission Information and Records; Disclosure; Confidentiality; Compacting State Compliance and Oversight - Sec. 9. (a) The commission shall adopt rules establishing conditions...

27-8-31-10. Dispute Resolution - Sec. 10. The commission shall attempt, upon the request of...

27-8-31-11. Product Filing and Approval - Sec. 11. (a) Insurers and third party filers seeking to...

27-8-31-12. Disapproval; Appeal; Monitoring - Sec. 12. (a) Not later than thirty (30) days after...

27-8-31-13. Commission Finances - Sec. 13. (a) The commission shall pay or provide for...

27-8-31-14. Effectiveness of Compact; Amendments - Sec. 14. (a) Any state is eligible to become a...

27-8-31-15. Withdrawal of Compacting State; Reinstatement - Sec. 15. (a) Once effective, the compact continues in force...

27-8-31-16. Default of Compacting State; Reinstatement - Sec. 16. (a) If the commission determines that any compacting...

27-8-31-17. Dissolution of Compact - Sec. 17. The compact dissolves effective on the date of...

27-8-31-18. Severability - Sec. 18. The provisions of this compact are severable and...

27-8-31-19. Effect on State Law - Sec. 19. (a) Nothing in this chapter prevents the enforcement...

27-8-31-20. Commission Actions and Agreements; Effect on Compacting States; Constitutional Violation - Sec. 20. (a) All lawful actions of the commission, including...

Chapter 31.2. Mail Order and Internet Pharmacy Designation

27-8-31.2-0.1. Application of Chapter - Sec. 0.1. The addition of this chapter by P.L.251-2003 applies...

27-8-31.2-1. "Insurer" - Sec. 1. As used in this chapter, "insurer" refers to...

27-8-31.2-2. "Insured" - Sec. 2. As used in this chapter, "insured" means an...

27-8-31.2-3. "Mail Order or Internet Based Pharmacy" - Sec. 3. As used in this chapter, "mail order or...

27-8-31.2-4. "Policy of Accident and Sickness Insurance" - Sec. 4. As used in this chapter, "policy of accident...

27-8-31.2-5. Designation of Mail Order or Internet Based Pharmacy - Sec. 5. (a) An insurer that provides coverage for prescription...

Chapter 31.4. Synchronized Medication Dispensing

27-8-31.4-1. Application of Chapter - Sec. 1. This chapter does not apply to a mail...

27-8-31.4-2. "Covered Individual" - Sec. 2. As used in this chapter, "covered individual" means...

27-8-31.4-3. "Policy of Accident and Sickness Insurance" - Sec. 3. As used in this chapter, "policy of accident...

27-8-31.4-4. "Synchronize" - Sec. 4. As used in this chapter, "synchronize" means to...

27-8-31.4-5. Denial of Coverage to Synchronize Prohibited - Sec. 5. A policy of accident and sickness insurance that...

27-8-31.4-6. Coverage of Synchronization - Sec. 6. A policy of accident and sickness insurance must...

Chapter 32. Coverage for Chemotherapy

27-8-32-1. Application of Chapter - Sec. 1. This chapter applies to a policy of accident...

27-8-32-2. "Cancer Chemotherapy" - Sec. 2. As used in this chapter, "cancer chemotherapy" means...

27-8-32-3. "Insured" - Sec. 3. As used in this chapter, "insured" means an...

27-8-32-4. "Policy of Accident and Sickness Insurance" - Sec. 4. As used in this chapter, "policy of accident...

27-8-32-5. Prohibition on Coverage Limitations - Sec. 5. Coverage for orally administered cancer chemotherapy under a...

Chapter 32.1. Coverage for Prescription Eye Drops

27-8-32.1-1. Application - Sec. 1. This chapter applies to a policy of accident...

27-8-32.1-2. "Insured" - Sec. 2. As used in this chapter, "insured" means an...

27-8-32.1-3. "Policy of Accident and Sickness Insurance" - Sec. 3. As used in this chapter, "policy of accident...

27-8-32.1-4. Policy of Accident and Sickness Insurance; Coverage for Refill of Prescription Eye Drops; Requirements - Sec. 4. (a) A policy of accident and sickness insurance...

Chapter 32.4. Coverage for Methadone

27-8-32.4-1. Application - Sec. 1. This chapter applies to a policy of accident...

27-8-32.4-2. Repealed - As added by P.L.209-2015, SEC.19. Repealed by P.L.149-2016, SEC.78.

27-8-32.4-3. "Policy of Accident and Sickness Insurance" - Sec. 3. As used in this chapter, "policy of accident...

27-8-32.4-4. Coverage of Methadone When Prescribed for Pain - Sec. 4. A policy of accident and sickness insurance may...

Chapter 33. Health Care Exchanges and Abortion

27-8-33-1. "Abortion" - Note: This version of section effective until 9-15-2022. See also...

27-8-33-1-b. "Abortion" - Note: This version of section effective 9-15-2022. See also preceding...

27-8-33-2. "Federal Patient Protection and Affordable Care Act" - Sec. 2. As used in this chapter, "federal Patient Protection...

27-8-33-3. "Qualified Health Plan" - Sec. 3. As used in this chapter, "qualified health plan"...

27-8-33-4. Prohibition on Coverage for Abortion; Exceptions - Note: This version of section effective until 9-15-2022. See also...

27-8-33-4-b. Prohibition on Coverage for Abortion; Exceptions - Note: This version of section effective 9-15-2022. See also preceding...

Chapter 34. Coverage for Telemedicine Services

27-8-34-1. "Covered Individual" - Sec. 1. As used in this chapter, "covered individual" means...

27-8-34-2. "Health Care Services" - Sec. 2. As used in this chapter, "health care services"...

27-8-34-3. "Policy" - Sec. 3. As used in this chapter, "policy" means a...

27-8-34-4. "Provider" - Sec. 4. As used in this chapter, "provider" has the...

27-8-34-5. "Telehealth Services" - Sec. 5. As used in this chapter, "telehealth services" means...

27-8-34-6. Coverage of Telehealth Services; Prohibition on Requiring Use of Specific Information Technology Application - Sec. 6. (a) A policy must provide coverage for telehealth...

27-8-34-7. Application Limitations - Sec. 7. This chapter does not do any of the...

Chapter 35. Coverage for Anatomical Gifts and Transplantation

27-8-35-1. "Covered Individual" - Sec. 1. As used in this chapter, "covered individual" means...

27-8-35-2. "Disability" - Sec. 2. As used in this chapter, "disability" has the...

27-8-35-3. "Insurer" - Sec. 3. As used in this chapter, "insurer" means an...

27-8-35-4. "Policy of Accident and Sickness Insurance" - Sec. 4. As used in this chapter, "policy of accident...

27-8-35-5. Coverage for Anatomical Gifts, Transplantation, or Related Health Care Services - Sec. 5. An insurer shall not deny coverage for anatomical...

Chapter 35.5. Coverage for Chronic Pain Management

27-8-35.5-1. "Chronic Pain" - Sec. 1. As used in this chapter, "chronic pain" means...

27-8-35.5-2. "Chronic Pain Management" - Sec. 2. As used in this chapter, "chronic pain management"...

27-8-35.5-3. "Insured" - Sec. 3. As used in this chapter, "insured" means an...

27-8-35.5-4. "Policy of Accident and Sickness Insurance" - Sec. 4. As used in this chapter, "policy of accident...

27-8-35.5-5. Coverage for Chronic Pain Management - Sec. 5. A policy of accident and sickness insurance must...

27-8-35.5-6. Coverage Not More Restrictive Than Other Coverage - Sec. 6. The coverage required by this chapter may not...

Chapter 37. Coverage for Pediatric Neuropsychiatric Disorders

27-8-37-1. "Policy of Accident and Sickness Insurance" - Sec. 1. As used in this chapter, "policy of accident...

27-8-37-2. Coverage for Pans and Pandas - Sec. 2. A policy of accident and sickness insurance must...

27-8-37-3. Restrictions - Sec. 3. The coverage required by this chapter may not...

Chapter 38. Coverage for Emergency Ambulance Services and Specialty Care Transport

27-8-38-1. Application - Sec. 1. This chapter applies to: (1) accident and sickness...

27-8-38-2. "Accident and Sickness Insurance Policy" - Sec. 2. (a) As used in this chapter, "accident and...

27-8-38-3. "Emergency Ambulance Services" - Sec. 3. As used in this chapter, "emergency ambulance services"...

27-8-38-4. "Emergency Medical Services" - Sec. 4. As used in this chapter, "emergency medical services"...

27-8-38-5. "Emergency Medical Services Provider Organization" - Sec. 5. As used in this chapter, "emergency medical services...

27-8-38-6. "Hmo Contract" - Sec. 6. (a) As used in this chapter, "HMO contract"...

27-8-38-7. "Specialty Care Transport" - Sec. 7. As used in this chapter, "specialty care transport"...

27-8-38-8. Accident and Sickness Insurance Policy; Hmo Contract; Reimbursement - Sec. 8. An accident and sickness insurance policy or HMO...

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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