Title 27, INSURANCE

Sec. 2. As used in this chapter, "authorized agency" means the following: (1) The state fire marshal or a fire department acting under IC 36-8-17. (2) The superintendent of the state police. (3) The prosecuting attorney responsible for prosecutions in the county where damage to p…

Sec. 3. As used in this chapter, "available insurance proceeds" means: (1) the proceeds payable under a policy of property or casualty insurance: (A) to an innocent coinsured; and (B) based on a claim for property loss to the innocent coinsured's primary residence; minus (2) proc…

Sec. 4. (a) As used in this chapter, "final settlement" means a determination: (1) of the amount owed to an innocent coinsured by an insurer: (A) under the building coverage part of a policy of property or casualty insurance; and (B) for property loss to the innocent coinsured's …

Sec. 5. As used in this chapter, "innocent coinsured" means an individual who: (1) is insured under a policy of property or casualty insurance; (2) did not have knowledge of, cooperate in, or intentionally contribute to a property loss that was caused or arranged by another indiv…

Sec. 6. As used in this chapter, "insurer" means an insurance company that issues or delivers a policy of property or casualty insurance. As added by P.L.148-2017, SEC.8.

Sec. 7. As used in this chapter, "property or casualty insurance" means a type of insurance described in Class 2 and Class 3 of IC 27-1-5-1. However, the term does not mean insurance described in Class 2(a) of IC 27-1-5-1. As added by P.L.148-2017, SEC.8.

Sec. 8. (a) An insurer may not deny, exclude, or limit payment of a claim made: (1) by an innocent coinsured; (2) for coverage of a property loss to the primary residence of the innocent coinsured; and (3) under a policy of property or casualty insurance; unless the denial, exclu…

Sec. 9. An insurer may not: (1) refuse to renew; (2) refuse to issue; or (3) add a surcharge or rating factor to a premium for; a policy of property or casualty insurance solely on the basis that an insured or a prospective insured under the policy of property or casualty insuran…

Sec. 1. This chapter applies to: (1) every policy of accident and sickness insurance (as defined in IC 27-8-5-1), whether written on an individual basis, a group basis, a franchise basis, or a blanket basis; and (2) every group contract (as defined in IC 27-13-1-16) or individual…

Sec. 2. As used in this chapter, "at-home postdelivery care" refers to health care provided to a woman at her residence by a physician licensed under IC 25-22.5 or a registered nurse or an advanced practice registered nurse licensed under IC 25-23 whose scope of practice includes…

Sec. 3. As used in this chapter, "maternity benefits" refers to the provision of health care to a woman before, during, and after delivery of a child, including physician, hospital, laboratory, and ultrasound services. As added by P.L.194-1996, SEC.1.

Sec. 4. (a) Except as provided in section 5 of this chapter, every policy or group contract that provides maternity benefits must provide minimum benefits to a mother and her newborn child that cover: (1) a minimum length of postpartum stay at a hospital licensed under IC 16-21 t…

Sec. 5. (a) If the patients’ attending physician determines further inpatient care is not necessary for the mother or newborn child, a policy or group contract that provides maternity benefits under this chapter may provide under the policy or group contract a shorter length of p…

Sec. 1. (a) The commissioner may suspend or revoke a certificate of authority issued under this article or deny an application submitted under this article if the commissioner finds that any of the following conditions exists: (1) The health maintenance organization is operating:…

Sec. 2. (a) If the commissioner finds that the net worth maintained by a health maintenance organization subject to this article is less than the minimum net worth required by IC 27-13-12, the commissioner shall: (1) give written notice to the health maintenance organization of t…

Sec. 3. (a) The commissioner may: (1) suspend or revoke a certificate of authority; (2) deny an application for a certificate of authority; or (3) impose an administrative penalty; under this article only after complying with this section. (b) The commissioner may: (1) suspend or…

Sec. 4. (a) After a hearing, or upon failure of the health maintenance organization or applicant to appear at the hearing, the commissioner shall: (1) take whatever action the commissioner finds necessary and appropriate based on written findings; and (2) mail the decision to the…

Sec. 5. IC 4-21.5 applies to proceedings under this chapter to the extent IC 4-21.5 does not conflict with any section of this chapter. As added by P.L.26-1994, SEC.25.

Sec. 6. A health maintenance organization whose certificate of authority is suspended may not, during the period of suspension: (1) enroll any additional enrollees, except newborn children or other newly acquired dependents of existing enrollees; or (2) engage in any advertising …

Sec. 7. (a) A health maintenance organization whose certificate of authority is revoked: (1) shall proceed, immediately following the effective date of the order of revocation, to wind up the affairs of the organization; and (2) may not conduct further business, except as essenti…

Sec. 8. If the commissioner issues an order under section 3(b)(1) of this chapter and the health maintenance organization requests a hearing under section 3(d) of this chapter within the time period specified, the health maintenance organization may not: (1) enroll any additional…