Indiana § 27-1-25-5.5 Insurer responsibilities

Indiana Statutes

§ 27-1-25-5.5 — Insurer responsibilities

Indiana § 27-1-25-5.5

Title 27INSURANCE

Art. 1DEPARTMENT OF INSURANCE

Ch. 25Insurance Administrators

This text of Indiana § 27-1-25-5.5 (Insurer responsibilities) is published on Counsel Stack Legal Research, covering Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Ind. Code § 27-1-25-5.5 (2026).

Text

5.

(a)If an insurer uses the services of an administrator, the insurer is responsible for:

(1)determining the:

(A)benefits;

(B)premium rates;

(C)underwriting criteria; and

(D)claims payment procedures; that apply to the coverage; and

(2)securing reinsurance.

(b)An insurer shall provide to an administrator, with the written agreement required under section 2 of this chapter:

(1)the rules that the administrator must follow in administering the coverage, as determined under subsection (a); and

(2)the responsibilities of the administrator as to administering the coverage.

(c)An insurer that uses the services of an administrator has sole responsibility for the competent administration of benefit programs provided by the insurer.

(d)If an administrator administers benefits for more t

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5. (a) If an insurer uses the services of an
administrator, the insurer is responsible for:
(1) determining the:
(A) benefits;
(B) premium rates;
(C) underwriting criteria; and
(D) claims payment procedures;
that apply to the coverage; and
(2) securing reinsurance.
(b) An insurer shall provide to an administrator, with the written
agreement required under section 2 of this chapter:
(1) the rules that the administrator must follow in administering
the coverage, as determined under subsection (a); and
(2) the responsibilities of the administrator as to administering the
coverage.
(c) An insurer that uses the services of an administrator has sole
responsibility for the competent administration of benefit programs
provided by the insurer.
(d) If an administrator administers benefits for more than one
hundred (100) covered individuals on behalf of an insurer, the insurer
shall, not less than semiannually, review the operations of the
administrator. At least one (1) of the semiannual reviews must be an
onsite audit of the operations of the administrator.