§ 27-4-10-5 — "Health insurance plan"

Indiana § 27-4-10-5

• Jurisdiction: Indiana
• Title 27: INSURANCE
• Art. 4: UNFAIR COMPETITION; UNAUTHORIZED
• Ch. 10: Virtual Claim Payments for Dental Care Services

Text

(a) As used in this chapter, "health insurance
plan" means:
(1) a policy of accident and sickness insurance (as defined in IC 27-8-5-1);
(2) an individual contract or a group contract with a health
maintenance organization under IC 27-13;
(3) a:
(A) policy of accident and sickness insurance; or
(B) limited service health maintenance organization (as defined
in IC 27-13-34-4);
that provides coverage for dental care services; or
(4) another plan or program that provides payment,
reimbursement, or indemnification for the costs of health care
items or services.
(b) The term does not include the following:
(1) Accident only, credit, vision, Medicare supplement, long term
care, or disability income insurance.
(2) Coverage issued as a supplement to liability insurance.
(3) Automobile medical payment insurance.
(4) A specified disease policy.
(5) 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).
(6) A policy that provides indemnity benefits not based on any
expense incurred requirement, including a plan that provides
coverage for:
(A) hospital confinement, critical illness, or intensive care; or
(B) gaps for deductibles or copayments.
(7) Worker's compensation or similar insurance.
(8) A student health plan.
(9) A supplemental plan that always pays in addition to other
coverage.
(10) An employer sponsored health benefit plan that is:
(A) provided to individuals who are eligible for Medicare; and
(B) not marketed as, or held out to be, a Medicare supplement
policy.
(11) The Medicaid program.

Legislative History

As added by P.L.31-2021, SEC.4.