Title 27, INSURANCE

Sec. 13. This chapter does not prevent a depository institution or an affiliate of a depository institution that lends money or extends credit from placing insurance on real or personal property if a customer fails to provide insurance that is required under terms of a loan agree…

Sec. 14. A person that violates this chapter commits an unfair and deceptive act or practice in the business of insurance under IC 27-4-1-4. As added by P.L.130-2002, SEC.2.

Sec. 2. As used in this section, "customer" means an individual who purchases, applies to purchase, or is solicited to purchase insurance primarily for personal, family, or household purposes. As added by P.L.130-2002, SEC.2.

Sec. 3. As used in this chapter, "depository institution" means a depository financial institution (as defined in IC 28-9-2-6). As added by P.L.130-2002, SEC.2.

Sec. 4. As used in this section, "insurance producer" has the meaning set forth in IC 27-1-15.6-2. As added by P.L.130-2002, SEC.2.

Sec. 5. As used in this chapter, "person that sells, solicits, advertises, or offers insurance on behalf of a depository institution" means a person to which one (1) of the following applies: (1) The person represents to a customer that the sale, solicitation, advertisement, or o…

Sec. 6. This chapter does not apply to credit insurance. As added by P.L.130-2002, SEC.2.

Sec. 7. A depository institution or an affiliate of a depository institution may not do the following: (1) As a condition precedent to a loan of money, an extension of credit, or the renewal of a loan of money or an extension of credit, require a customer to: (A) purchase; or (B)…

Sec. 8. (a) A depository institution or the affiliate of a depository institution that: (1) lends money or extends credit; and (2) solicits insurance primarily for personal, family, or household purposes; shall disclose in writing to a customer that the insurance related to the l…

Sec. 9. (a) This section applies as follows: (1) To an affiliate of a depository institution only to the extent that the affiliate sells, solicits, advertises, or offers insurance at the office of a depository institution or on behalf of a depository institution. (2) To the: (A) …

Sec. 1. This chapter applies to: (1) accident and sickness insurance policies issued, delivered, or renewed after June 30, 2022; and (2) HMO contracts entered into or renewed after June 30, 2022. As added by P.L.170-2022, SEC.38.

Sec. 2. (a) As used in this chapter, "accident and sickness insurance policy" means an insurance policy that: (1) provides at least one (1) of the types of insurance described in IC 27-1-5-1, Classes 1(b) and 2(a); and (2) is issued on: (A) an individual basis; or (B) a group bas…

Sec. 3. As used in this chapter, "emergency ambulance services" has the meaning set forth in IC 16-18-2-107. As added by P.L.170-2022, SEC.38.

Sec. 4. As used in this chapter, "emergency medical services" has the meaning set forth in IC 16-18-2-110. As added by P.L.170-2022, SEC.38.

Sec. 5. As used in this chapter, "emergency medical services provider organization" means a provider of emergency medical services that is certified by the Indiana emergency medical services commission under the rules adopted under IC 16-31-3 to provide advanced life support. As …

Sec. 6. (a) As used in this chapter, "HMO contract" means a contract under which a health maintenance organization (as defined in IC 27-13-1-19) undertakes to provide or arrange for the delivery of health care services to enrollees on a prepaid basis, except for enrollee responsi…

Sec. 7. As used in this chapter, "specialty care transport" means transport in which the level of service or procedures required is as set forth in 836 IAC 2-2-3(k) as in effect on January 1, 2022. As added by P.L.170-2022, SEC.38.

Sec. 8. An accident and sickness insurance policy or HMO contract that provides coverage for emergency medical services must also provide reimbursement for the following: (1) Emergency ambulance services provided by an emergency medical services provider organization. (2) Special…

Sec. 1. (a) A health maintenance organization may apply a formulary to the prescription drug and devices benefits provided by the health maintenance organization if the formulary is developed, reviewed, and updated: (1) in consultation with; and (2) with the approval of; a pharma…

Sec. 2. Subject to IC 16-42-22: (1) a pharmacist shall not substitute; and (2) a health maintenance organization shall not require the substitution of; a different single source brand name drug for a single source brand name drug written on a prescription form or electronically t…

Sec. 3. Each health maintenance organization that has a prescription drug benefit shall establish and operate, or cause to be established and operated, a drug utilization review program that includes the following: (1) Retrospective review of prescription drugs furnished to enrol…

Sec. 4. The primary emphasis of the drug utilization review program established under section 3 of this chapter is to enhance quality of care for enrollees by assuring appropriate drug therapy. As added by P.L.69-1998, SEC.16.

Sec. 5. The name of an enrollee that is discovered in the course of the drug utilization review program shall remain confidential. As added by P.L.69-1998, SEC.16.

Sec. 6. The commissioner, with input and assistance from the state health commissioner, may adopt rules under IC 4-22-2 to implement this chapter. As added by P.L.69-1998, SEC.16.

Sec. 7. (a) The definitions in IC 27-13-7-23 apply throughout this section. (b) A health maintenance organization shall not remove a prescription drug from the health maintenance organization's formulary, change the cost sharing requirements that apply to a prescription drug, or …

Sec. 8. (a) This section does not apply to a mail order pharmacy or to specialty drugs. (b) This section applies to an individual contract or a group contract that provides coverage for prescription medications. (c) As used in this section, "synchronize" means to use a single pha…