Indiana § 27-1-51-10 Calculating covered individual's contribution

Indiana Statutes

§ 27-1-51-10 — Calculating covered individual's contribution

Indiana·Title 27 INSURANCE·Art. 1 DEPARTMENT OF INSURANCE·Ch. 51 Cost Sharing for Health Insurance Coverage

Effective 1-1-2026. Sec. 10.

(a)Except as provided in subsection (b), when calculating a covered individual's contribution to an applicable cost sharing requirement, an insurer and administrator must include any cost sharing amounts paid:

(1)by the covered individual; and

(2)on behalf of the covered individual by another person.

(b)If application of subsection (a) would result in a covered individual becoming ineligible for a health savings account under Section 223 of the Internal Revenue Code, the requirement under subsection (a) applies with respect to the deductible of a high deductible health plan after the covered individual satisfies the minimum deductible under Section 223 of the Internal Revenue Code. However, subsection (a) applies to items or services that are preventative c

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Effective 1-1-2026.
Sec. 10. (a) Except as provided in subsection (b),
when calculating a covered individual's contribution to an applicable
cost sharing requirement, an insurer and administrator must include
any cost sharing amounts paid:
(1) by the covered individual; and
(2) on behalf of the covered individual by another person.
(b) If application of subsection (a) would result in a covered
individual becoming ineligible for a health savings account under
Section 223 of the Internal Revenue Code, the requirement under
subsection (a) applies with respect to the deductible of a high
deductible health plan after the covered individual satisfies the
minimum deductible under Section 223 of the Internal Revenue Code.
However, subsection (a) applies to items or services that are
preventative care under Section 223(c)(2)(C) of the Internal Revenue
Code regardless of whether the minimum deductible under Section 223
of the Internal Revenue Code is satisfied.

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