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Indiana Statutes, Title 27

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Indiana/Statutes

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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

11 sections·Filtered byTitle 27✕Ch 46.5✕

Ind. Code § 27-1-46.5-1 "Direct to employer health care arrangement"
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Sec. 1. As used in this chapter, "direct to employer health care arrangement" means an arrangement between: (1) a hospital; (2) a hospital system; (3) an Indiana nonprofit hospital system; or (4) a narrow network of hospitals; and an employer that provides health care benefits fo…
Ind. Code § 27-1-46.5-10 Offer of a direct to employer health care arrangement by a hospital; benchmark; requirements; audit; assessment
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Sec. 10. (a) Beginning September 1, 2026, a hospital that is not a part of an Indiana nonprofit hospital system shall offer a direct to employer health care arrangement that is at or below a benchmark of two hundred sixty percent (260%) of full Medicare. (b) The benchmark describ…
Ind. Code § 27-1-46.5-11 Provision of claims data by third party administrator; compliance with federal law; complaint process
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Sec. 11. (a) Not later than thirty (30) days after a request by a contract holder of a direct to employer health care arrangement, a third party administrator that has contracted to administer a direct to employer health care arrangement shall provide claims data to the contract …
"Full Medicare"

Ind. Code § 27-1-46.5-2

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Sec. 2. As used in this chapter, "full Medicare" refers to the amount the Medicare program pays for a covered service, including all hospital-specific Medicare adjustments. As added by P.L.216-2025, SEC.46.

Ind. Code § 27-1-46.5-3 "Hospital"

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Sec. 3. (a) As used in this chapter and except as provided in subsection (b), "hospital" means an acute care hospital licensed under IC 16-21. (b) The term does not include the following: (1) A hospital specifically intended to diagnose, care, and treat the following: (A) Individ…

Ind. Code § 27-1-46.5-4 "Hospital system"

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Sec. 4. As used in this chapter, "hospital system" means one (1) or more hospitals, all of which are related by direct or indirect common control or ownership. As added by P.L.216-2025, SEC.46.

Ind. Code § 27-1-46.5-5 "Indiana nonprofit hospital system"

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Sec. 5. As used in this chapter, "Indiana nonprofit hospital system" means a hospital system that: (1) is organized as a nonprofit corporation or a charitable trust under Indiana law or the laws of any other state or country and that is: (A) eligible for tax exempt bond financing…

Ind. Code § 27-1-46.5-6 "Narrow network"

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Sec. 6. As used in this chapter, "narrow network" means an arrangement that limits the hospitals that a covered individual may use to obtain covered services under an employee benefit plan. As added by P.L.216-2025, SEC.46.

Ind. Code § 27-1-46.5-7 "Prices"

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Sec. 7. As used in this chapter, "prices" means the amounts that are paid for patient care services. As added by P.L.216-2025, SEC.46.

Ind. Code § 27-1-46.5-8 "Third party administrator"

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Sec. 8. As used in this chapter, "third party administrator" means an individual or entity that performs administrative services for a direct to employer health care arrangement. As added by P.L.216-2025, SEC.46.

Ind. Code § 27-1-46.5-9 Offer of a direct to employer health care arrangement by Indiana nonprofit hospital system; benchmark; requirements; audit; assessment

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Sec. 9. (a) Beginning September 1, 2025, an Indiana nonprofit hospital system shall offer a direct to employer health care arrangement that is at or below a benchmark of two hundred sixty percent (260%) of full Medicare. (b) The benchmark described in subsection (a) shall be calc…