Title 27, INSURANCE

Sec. 5. Upon the presentation of the articles of reorganization, the secretary of state, if he finds they conform to law, shall indorse his approval on each of the triplicate copies of the articles, and when all fees have been paid as required by law, shall file one (1) copy of t…

Sec. 6. (a) The corporation shall then file a certified copy of the articles of reorganization with the department and present to the department its certificate of authority issued or renewed under IC 27-1-6-18 for cancellation. The department shall file the certified copy of art…

Sec. 7. Upon the issuance of the certificate of reorganization by the secretary of state, the filing for record of the articles with the department and the county recorder as provided in section 6 of this chapter, and the issuance of the new certificate of authority provided for …

Sec. 1. As used in this chapter, "drought insurance" means insurance that covers the loss of or damage to crops caused by an insufficient amount of rainfall. As added by P.L.250-1989, SEC.1.

Sec. 2. A drought insurance policy becomes effective and is not subject to cancellation: (1) at the time stated in the application for the insurance; or (2) fourteen (14) days after the applicant submits the premium payment; whichever occurs first, unless the application is refus…

Sec. 0.1. The addition of section 9 of this chapter by P.L.74-2007 applies to an agreement between an insurer and a provider that is entered into, amended, or renewed on or after April 26, 2007. As added by P.L.220-2011, SEC.441.

Sec. 1. (a) The definitions in this section apply throughout this chapter. (b) "Credentialing" means a process through which an insurer makes a determination: (1) based on criteria established by the insurer; and (2) concerning whether a provider is eligible to: (A) provide healt…

Sec. 10. (a) As used in this section, "dialysis facility" means an outpatient facility in Indiana at which a dialysis treatment provider provides dialysis treatment. (b) As used in this section, "contracted dialysis facility" means a dialysis facility that has entered into an agr…

noncontracted provider; requirements Sec. 11. (a) As used in this section, "noncontracted provider" means a provider that has not entered into an agreement with an insurer under section 3 of this chapter. (b) After September 30, 2009, if an insurer makes a payment to an insured f…

Sec. 12. (a) As used in this section, "drug" means a prescription drug. (b) As used in this section, "insurer" refers to an insurer that provides coverage for drugs. The term includes a person that administers drug benefits on behalf of an insurer. (c) As used in this section, "p…

Sec. 13. (a) A fully credentialed provider shall be reimbursed for eligible services provided at any in-network hospital if the following conditions are met: (1) The provider submits the documentation required by the insurer to be loaded under the provider group or hospital. (2) …

Sec. 13.5. (a) As used in this section, "physician" refers to an individual who: (1) is licensed under IC 25-22.5; (2) has been granted reciprocity by the medical licensing board of Indiana under IC 25-1-21 before July 1, 2026; or (3) is licensed in a state that has enacted the i…

Sec. 14. (a) As used in this section, "covered individual" means an individual who is entitled to the coverage of dental services by a dental carrier. (b) As used in this section, "dental carrier" means any of the following: (1) An insurer that issues a policy of accident and sic…

Sec. 2. To the extent of any conflict between this chapter and IC 27-4-1-4, IC 27-8-5-15, IC 27-8-6-1, or any other statutory provision, this chapter prevails over the conflicting provision. Agreements may be entered into under section 3(a)(1) of this chapter notwithstanding any …

Sec. 3. (a) An insurer may: (1) enter into agreements with providers relating to terms and conditions of reimbursement for health care services that may be rendered to insureds of the insurer, including agreements relating to the amounts to be charged the insured for services ren…

Sec. 4. Policies issued under section 3(a)(3) or section 3.1 of this chapter (before its repeal) may not contain terms or conditions that would operate unreasonably to restrict the access and availability of health care services for the insured. The commissioner of insurance may,…

Sec. 4.5. (a) An agreement between an insurer and provider under section 3 of this chapter may not prohibit a provider from disclosing: (1) financial incentives to the provider; (2) all treatment options available to an insured, including those not covered by the insured's policy…

Sec. 5. Each person that organizes a preferred provider plan under this chapter shall file with the commissioner before March 1 of each year a statement, under oath, upon a form prescribed by the commissioner that covers the preceding calendar year and includes the following: (1)…

Sec. 6. (a) A preferred provider plan may not refuse to enter into an agreement with a hospital solely because the hospital has not obtained accreditation from an accreditation organization that: (1) establishes standards for the organization and operation of hospitals; (2) requi…

Sec. 7. (a) This section applies to an insurer that issues or administers a policy that provides coverage for basic health care services (as defined in IC 27-13-1-4). (b) As used in this section, "clean credentialing application" means an application for network participation tha…

Sec. 7.5. (a) A physician licensed under IC 25-22.5 who was credentialed to provide services under Medicaid within the previous twelve (12) months shall be considered provisionally credentialed if the physician: (1) is in good standing with the office or a managed care organizati…

Sec. 8. (a) An insurer may provide to an insured in electronic or paper form a directory of providers with which the insurer has entered into an agreement under section 3 of this chapter. (b) An insurer that provides a directory described in subsection (a) shall: (1) inform the i…

Sec. 8.5. (a) As used in this section, "insurance producer" has the meaning set forth in IC 27-1-15.6-2. (b) An insurer shall provide any insurance producer who has contracted with the insurer with access to a complete list of every provider that has entered into an agreement wit…

Sec. 9. (a) As used in this section, "insurer" includes the following: (1) An administrator licensed under IC 27-1-25. (2) A person that pays or administers claims on behalf of an insurer. (b) An agreement between an insurer and a provider under this chapter may not contain a pro…

Sec. 1. Except for investments under IC 27-13-4-1(a)(1), the funds of a health maintenance organization or limited service health maintenance organization may be invested only as follows: (1) The funds of a health maintenance organization or limited service health maintenance org…

Sec. 1. This chapter applies if a closed block is used for the preservation of the reasonable dividend expectations of eligible members and other policyholders. As added by P.L.94-1999, SEC.3.

Sec. 2. The converting mutual shall prepare a written plan of operation for the closed block, consistent with the requirements of this article. As added by P.L.94-1999, SEC.3.

Sec. 3. The closed block shall be operated for the exclusive benefit of policies and contracts included in it. No costs or expenses incurred in connection with the conversion shall be charged to the closed block. Subject to termination of the closed block under section 7 of this …

Sec. 4. The assets allocated to the closed block, together with the revenue from the closed block, must be reasonably sufficient to: (1) support the business in the closed block until the time the last policy in the closed block has terminated, including payment of claims and tho…

Sec. 5. The assets assigned to a closed block shall be specified in the plan of operation and must consist of: (1) a list of designated assets of the converting mutual's general account or specified segments of the converting mutual's general account, which list shall change peri…

Sec. 6. The plan of operation must specify the following: (1) The method of assignment of closed block assets referred to in section 5 of this chapter that is being used. (2) The methods by which the designations of assets or portions of assets are changed during the course of cl…

Sec. 7. The plan of operation must provide for the conditions under which the former mutual, with the approval of the commissioner, may cease to maintain the closed block. As added by P.L.94-1999, SEC.3.

Sec. 8. The former mutual shall: (1) submit to the commissioner annual reports, in a form acceptable to the commissioner, that account for and describe the operations of the closed block; and (2) as specified in the plan of operation, provide at least every three (3) years for re…

Sec. 1. A discount medical card program organization shall notify the department of a change of the discount medical card program organization's name, address, principal business address, or mailing address at least thirty (30) days before the change occurs. As added by P.L.73-20…