§ 27-1-37.3-5 — "Health plan"

Indiana § 27-1-37.3-5

• Jurisdiction: Indiana
• Title 27: INSURANCE
• Art. 1: DEPARTMENT OF INSURANCE
• Ch. 37.3: Third Party Rights and Responsibilities Under Health

Text

(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.

Legislative History

As added by P.L.55-2008, SEC.1. Amended by P.L.288-2019, SEC.1.