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Indiana Statutes, Title 27

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Indiana/Statutes

← All Indiana coverage

Title 27, INSURANCE

344 chapters · 3,652 sections in this title.

All chapters in Title 273,652 Ch 1, Department Created215 Ch 2, Application of Article; Definitions199 Ch 3, General Powers and Duties of the Dep…199 Ch 4, Prohibited Activities106 Ch 6, Formation of Domestic Companies100 Ch 10, Voluntary Dissolution99 Ch 5, Classification of Insurance97 Ch 9, Merger, Consolidation, and Reinsurance97 Ch 8, Procedures for Amending Articles of …96 Ch 12, Life Insurance Company Powers and Po…92 Ch 7, General Corporate Powers and Respons…84 Ch 36, Risk Based Capital Requirements75 Ch 15, Participating Providers; Contracts a…68 Ch 13, Casualty, Fire, and Marine Insurance…66

12 sections·Filtered byTitle 27✕Ch 25.5✕

Ind. Code § 27-1-25.5-1 "Fiduciary duty"
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Sec. 1. As used in this chapter, "fiduciary duty" includes the duty to: (1) act with loyalty and care in the best interest of the plan sponsor; (2) ensure that all fees, costs, and commissions are reasonably and fully disclosed; (3) avoid self-dealing and conflicts of interest; a…
Ind. Code § 27-1-25.5-2 "Health insurance coverage"
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Sec. 2. As used in this chapter, "health insurance coverage" includes: (1) a group policy of accident and sickness insurance (as defined in IC 27-8-5-1); (2) a group contract (as defined in IC 27-13-1-16) that provides coverage for basic health care services (as defined in IC 27-…
Ind. Code § 27-1-25.5-3 "Insurer"
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Sec. 3. As used in this chapter, "insurer" means an insurer that provides health insurance coverage to a covered individual. As added by P.L.69-2025, SEC.1.
Ind. Code § 27-1-25.5-4 "Pharmacy benefit manager"
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Sec. 4. As used in this chapter, "pharmacy benefit manager" has the meaning set forth in IC 27-1-24.5-12. As added by P.L.69-2025, SEC.1.

Ind. Code § 27-1-25.5-5 "Plan sponsor"

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Sec. 5. As used in this chapter, "plan sponsor" means an employer or organization that offers health insurance coverage to its employees or members through an insurer or a self-funded health benefit plan. As added by P.L.69-2025, SEC.1.

Ind. Code § 27-1-25.5-6 Fiduciary duty to plan sponsor

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Sec. 6. Any: (1) third party administrator; or (2) pharmacy benefit manager; acting on behalf of a plan sponsor owes a fiduciary duty to the plan sponsor. As added by P.L.69-2025, SEC.1.

Ind. Code § 27-2-25.5-0.5 "Plan sponsor"

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Sec. 0.5. As used in this chapter, "plan sponsor" means an individual or entity that offers health insurance coverage to its employees or members through a self-funded health benefit plan, including: (1) a self-funded health benefit plan that complies with the federal Employee Re…

Ind. Code § 27-2-25.5-0.7 "Third party administrator"

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Sec. 0.7. As used in section 3 of this chapter, "third party administrator" means an individual or entity that performs administrative services for a self-funded health benefit plan, including: (1) a self-funded health benefit plan that complies with the federal Employee Retireme…

Ind. Code § 27-2-25.5-1 Submitting claims data; requirements; compliance with federal law

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Sec. 1. (a) Not more than four (4) times per calendar year for a contract holder, a third party administrator, an insurer (as defined in IC 27-1-2-3(x)) that issues a policy of accident and sickness insurance (as defined in IC 27-8-5-1(a)), or a health maintenance organization (a…

Ind. Code § 27-2-25.5-2 Violations; fines

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Sec. 2. (a) The department may assess a third party administrator, an insurer, or a health maintenance organization that violates section 1 of this chapter a fine of one thousand dollars ($1,000) per day for which the claims data is provided after the time frame set forth in sect…

Ind. Code § 27-2-25.5-3 Plan sponsor's ownership of claims data

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Sec. 3. (a) This section applies to a contract entered into, issued, amended, or renewed after June 30, 2024. (b) A contract: (1) between a: (A) third party administrator; and (B) plan sponsor; (2) between a: (A) prepaid health care delivery plan under IC 5-10-8-7(c) to provide g…

Ind. Code § 27-2-25.5-4 Plan sponsor's right to audit; disclosure of data; violation; rules

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Sec. 4. (a) A plan sponsor that contracts with a third party administrator, the office of the secretary of family and social services that contracts with a managed care organization (as defined in IC 12-7-2.1-218) to provide services to a Medicaid recipient, or the state personne…