§ 27-8-5-16.5 — Conditions for issuance of certificate to resident of Indiana under group policy delivered or issued in another state

Indiana § 27-8-5-16.5

• Jurisdiction: Indiana
• Title 27: INSURANCE
• Art. 8: LIFE, ACCIDENT, AND HEALTH
• Ch. 5: Accident and Sickness Insurance─Policy Provisions

Text

5. (a) As used in this section, "delivery state"
means any state other than Indiana in which a policy is delivered or
issued for delivery.
(b) Except as provided in subsection (c), (d), or (e), a certificate may
not be issued to a resident of Indiana pursuant to a group policy that is
delivered or issued for delivery in a state other than Indiana.
(c) A certificate may be issued to a resident of Indiana pursuant to
a group policy not described in subsection (d) that is delivered or
issued for delivery in a state other than Indiana if:
(1) the delivery state has a law substantially similar to section 16
of this chapter;
(2) the delivery state has approved the group policy; and
(3) the policy or the certificate contains provisions that are:
(A) substantially similar to the provisions required by:
(i) section 19 of this chapter;
(ii) section 21 of this chapter; and
(iii) IC 27-8-5.6; and
(B) consistent with the requirements set forth in:
(i) section 24 of this chapter;
(ii) IC 27-8-6;
(iii) IC 27-8-14;
(iv) IC 27-8-23;
(v) 760 IAC 1-38.1; and
(vi) 760 IAC 1-39.
(d) A certificate may be issued to a resident of Indiana under an
association group policy, a discretionary group policy, or a trust group
policy that is delivered or issued for delivery in a state other than
Indiana if:
(1) the delivery state has a law substantially similar to section 16
of this chapter;
(2) the delivery state has approved the group policy; and
(3) the policy or the certificate contains provisions that are:
(A) substantially similar to the provisions required by:
(i) section 19 of this chapter or, if the policy or certificate is
described in section 2.5(b)(2) of this chapter, section 2.5 of
this chapter;
(ii) section 19.3 of this chapter if the policy or certificate
contains a waiver of coverage;
(iii) section 21 of this chapter; and
(iv) IC 27-8-5.6; and
(B) consistent with the requirements set forth in:
(i) section 15.6 of this chapter;
(ii) section 24 of this chapter;
(iii) section 26 of this chapter;
(iv) IC 27-8-6;
(v) IC 27-8-14;
(vi) IC 27-8-14.1;
(vii) IC 27-8-14.5;
(viii) IC 27-8-14.7;
(ix) IC 27-8-14.8;
(x) IC 27-8-20;
(xi) IC 27-8-23;
(xii) IC 27-8-24.3;
(xiii) IC 27-8-26;
(xiv) IC 27-8-28;
(xv) IC 27-8-29;
(xvi) 760 IAC 1-38.1; and
(xvii) 760 IAC 1-39.
(e) A certificate may be issued to a resident of Indiana pursuant to
a group policy that is delivered or issued for delivery in a state other
than Indiana if the commissioner determines that the policy pursuant
to which the certificate is issued meets the requirements set forth in
section 17(a) of this chapter.
(f) This section does not affect any other provision of Indiana law
governing the terms or benefits of coverage provided to a resident of
Indiana under any certificate or policy of insurance.

Legislative History

As added by P.L.185-1996, SEC.12. Amended by P.L.96-2002, SEC.1; P.L.211-2003, SEC.3; P.L.127-2006, SEC.2; P.L.11-2011, SEC.30.