Title 27, INSURANCE

Sec. 0.1. (a) The addition of this chapter and the amendments made to IC 13-1-2-11 (before its repeal, now codified at IC 16-41-35-30) by P.L.119-1991 apply to an insurance policy that is issued or renewed after June 30, 1991. (b) The amendments made to section 6 of this chapter …

Sec. 1. (a) As used in this chapter, "accident and sickness insurance policy" means an insurance policy that: (1) provides one (1) or more of the types of insurance described in IC 27-1-5-1, classes 1(b) and 2(a); and (2) is issued on a group basis. (b) The term does not include …

Sec. 2. (a) As used in this chapter, "breast cancer screening mammography" means a standard, two (2) view per breast, low-dose radiographic examination of the breasts that is: (1) furnished to an asymptomatic woman; and (2) performed by a mammography services provider using equip…

Sec. 3. As used in this chapter, "insured" means an individual who is entitled to coverage under a policy of accident and sickness insurance. As added by P.L.119-1991, SEC.3.

Sec. 4. As used in this chapter, "mammography services provider" means a person or facility that: (1) has been accredited by the American College of Radiology; (2) meets equivalent guidelines established by the Indiana department of health; or (3) certified by the Federal Departm…

Sec. 5. As used in this chapter, "woman at risk" means a woman who meets at least one (1) of the following descriptions: (1) A woman who has a personal history of breast cancer. (2) A woman who has a personal history of breast disease that was proven benign by biopsy. (3) A woman…

Sec. 6. (a) Except as provided in subsection (f), an insurer must provide coverage for breast cancer screening mammography in any accident and sickness insurance policy that the insurer issues in Indiana. (b) Except as provided in subsection (f), the coverage that an insurer must…

Sec. 1. When determining its liabilities, a health maintenance organization shall include an amount estimated in the aggregate to provide: (1) for any unearned premium; (2) for the payment of all claims for health care expenditures, whether reported or unreported: (A) that have b…

Sec. 2. The liabilities of a health maintenance organization must be computed: (1) in accordance with rules adopted by the commissioner; and (2) upon reasonable consideration of the ascertained experience and character of the health maintenance organization. As added by P.L.26-19…

Sec. 1. (a) If a domestic mutual insurance company: (1) is insolvent, as defined in IC 27-9-1-2(o); (2) does not meet the minimum surplus requirements of IC 27-1-6-15; or (3) in the judgment of the commissioner, is in a hazardous financial condition; its board of directors may ad…

Sec. 2. The application for approval of a plan of conversion and an amendment to the articles of incorporation described in section 1 of this chapter must include a description of how the converting mutual will meet the statutory surplus and capital requirements on the date the p…

Sec. 3. The commissioner shall approve the application and permit the conversion under a plan of conversion and an amendment to the articles of incorporation described in this chapter if the commissioner finds, following a public hearing, that the plan of conversion and the amend…

Sec. 4. The requirements of this chapter are in addition to, and may be combined with, any other filings, approvals, or hearings required by IC 27-1-23 or otherwise by law. As added by P.L.94-1999, SEC.3.

Sec. 1. The department may impose a civil penalty of: (1) at least five hundred dollars ($500); and (2) not more than fifty thousand dollars ($50,000); for each violation of this article. As added by P.L.73-2006, SEC.3.

Sec. 2. IC 27-4-5 applies to a discount medical card program organization that operates without registration under this article as if the discount medical card program organization were an unauthorized insurer. As added by P.L.73-2006, SEC.3.

Sec. 1. (a) This section applies only to a reference in this title that is published by the NAIC. (b) If a document described in subsection (a) to which a provision of this title refers is amended after the later of the date of publication of the version of the document that is r…

Sec. 10. "Annual Statement Blank" refers to the document entitled "Annual Statement Blank" that is: (1) adopted by the NAIC; (2) in effect on January 1, 2018; and (3) applicable to the kind of insurance to which the information contained in the document applies. As added by P.L.1…

Sec. 11. "Annual Statement Instructions" refers to the document entitled "Annual Statement Instructions" that is: (1) adopted by the NAIC; (2) in effect on January 1, 2018; and (3) applicable to a particular Annual Statement Blank. As added by P.L.124-2018, SEC.1.

Sec. 12. "Current Dental Terminology" or "CDT" refers to the Current Dental Terminology coding system that is: (1) published by the American Dental Association; and (2) in effect on January 1, 2018. As added by P.L.124-2018, SEC.1.

Sec. 13. "Current Procedural Terminology" or "CPT" refers to the Current Procedural Terminology coding system that is: (1) published by the American Medical Association; and (2) in effect on January 1, 2018. As added by P.L.124-2018, SEC.1.

Sec. 14. "Diagnostic and Statistical Manual of Mental Disorders" or "DSM" refers to the document entitled "Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association" that is in effect on January 1, 2018. As added by P.L.124-2018, SEC.1.

Sec. 15. "Financial Analysis Handbook" refers to the document entitled "Financial Analysis Handbook" that is: (1) adopted by the NAIC; and (2) in effect on January 1, 2018. As added by P.L.124-2018, SEC.1.

Sec. 16. "Financial Condition Examiner's Handbook" refers to the document entitled "Financial Condition Examiner's Handbook" that is: (1) adopted by the NAIC; and (2) in effect on January 1, 2018. As added by P.L.124-2018, SEC.1.

Sec. 17. "Financial Regulation Standards and Accreditation Program" refers to the accreditation program through which the NAIC certifies that state insurance departments have demonstrated compliance with legal, financial, organizational, licensing, and control standards establish…

Sec. 18. "Healthcare Common Procedure Coding System" or "HCPCS" refers to the version of the Healthcare Common Procedure Coding System: (1) the use of which is required by the federal Health Insurance Portability and Accountability Act of 1996 (42 U.S.C. 1301 et seq.); and (2) th…

Sec. 19. "Insurance Regulatory Information System Ratios Manual" refers to the document entitled "Insurance Regulatory Information System Ratios Manual" that is: (1) published by the NAIC; and (2) in effect on January 1, 2018. As added by P.L.124-2018, SEC.1.

Sec. 2. Except as otherwise provided in this title, a reference in this title to an Indiana statute is a reference to the statute: (1) as added to the Indiana Code (or, in the case of a noncode statute, as enacted into law); or (2) as amended; whichever occurred most recently. As…

Sec. 20. "International Classification of Diseases" or "ICD" refers to the International Classification of Diseases code book that is: (1) published by the World Health Organization; and (2) in effect on January 1, 2018. As added by P.L.124-2018, SEC.1.

Sec. 21. "Market Regulation Handbook" refers to the document entitled "Market Regulation Handbook" that is: (1) adopted by the NAIC; and (2) in effect on January 1, 2018. As added by P.L.124-2018, SEC.1.

Sec. 22. "NAIC" refers to the National Association of Insurance Commissioners. As added by P.L.124-2018, SEC.1.

Sec. 23. "NAIC Uniform Life, Accident and Health, Annuity and Credit Product Coding Matrix" refers to the document entitled "National Association of Insurance Commissioners Uniform Life, Accident and Health, Annuity and Credit Product Coding Matrix" that is: (1) published by the …

Sec. 24. "National Committee on Quality Assurance standards or guidelines" refers to standards or guidelines for accreditation of health plans: (1) that are published by the National Committee on Quality Assurance; and (2) in effect on January 1, 2018. As added by P.L.124-2018, S…

Sec. 25. "Own Risk and Solvency Assessment Guidance Manual" or "ORSA Manual" refers to the document entitled "Own Risk and Solvency Assessment Guidance Manual" that is: (1) adopted by the NAIC; and (2) in effect on January 1, 2018. As added by P.L.124-2018, SEC.1.

Sec. 26. "Purposes and Procedures Manual of the NAIC Investment Analysis Office" refers to the document entitled "Purposes and Procedures Manual of the NAIC Investment Analysis Office" that is: (1) adopted by the NAIC; and (2) in effect on January 1, 2018. As added by P.L.124-201…

Sec. 27. "Risk Based Capital Instructions" or "RBC Instructions" refers to the document entitled "Risk Based Capital Forecasting and Instructions" that is: (1) adopted by the NAIC; and (2) in effect on January 1, 2018. As added by P.L.124-2018, SEC.1.

Sec. 28. "Securities Valuation Manual" refers to the document entitled "Securities Valuation Manual" that is: (1) adopted by the NAIC; and (2) in effect on January 1, 2018. As added by P.L.124-2018, SEC.1.

Sec. 29. "Third party administrator" or "TPA" refers to the coding system that is: (1) maintained by an applicable third party administrator; and (2) in effect on January 1, 2018. As added by P.L.124-2018, SEC.1.

Sec. 3. Except as otherwise provided in this title, a reference in this title to an Indiana administrative rule is a reference to the rule: (1) as added to the Indiana Administrative Code; or (2) as amended; whichever occurred most recently. As added by P.L.124-2018, SEC.1.…

Sec. 30. "Uniform application" refers to the document entitled "Uniform Application for Individual Producer License/Registration" for resident and nonresident producer licensing that is: (1) published by the NAIC; and (2) in effect on January 1, 2018. As added by P.L.124-2018, SE…

Sec. 31. "Uniform Application for Business Entity Adjusters" refers to the document entitled "Uniform Application for Business Entity Adjuster License/Registration" that is: (1) published by the NAIC; and (2) in effect on January 1, 2018. As added by P.L.124-2018, SEC.1.…

Sec. 32. "Uniform Application for Individual Adjusters" refers to the document entitled "Uniform Application for Individual Adjuster or Apprentice License/Registration" that is: (1) published by the NAIC; and (2) in effect on January 1, 2018. As added by P.L.124-2018, SEC.1.…

Sec. 33. "Uniform application for third party administrator license" refers to the document entitled "Uniform Application for Third Party Administrator License" that is: (1) published by the NAIC; and (2) in effect on January 1, 2018. As added by P.L.124-2018, SEC.1.

Sec. 34. "Uniform business entity application" refers to the document entitled "Uniform Application for Business Entity License Renewal/Continuation" for resident and nonresident business entities that is: (1) published by the NAIC; and (2) in effect on January 1, 2018. As added …

Sec. 35. "Valuation Manual" refers to the Valuation Manual that: (1) was initially adopted by the NAIC on December 12, 2012; and (2) is in effect on January 1, 2018. As added by P.L.124-2018, SEC.1.

Sec. 4. Except as otherwise provided in this title, the following apply to a reference in this title to a federal statute or regulation: (1) A reference that contains a citation to the: (A) United States Code location of the federal statute; or (B) Code of Federal Regulations loc…

Sec. 5. (a) Except as otherwise provided in this title or as reported under section 1 of this chapter, a reference: (1) in this title; and (2) to a document not described this chapter; is a reference to the document as in effect on January 1, 2018. (b) The department shall mainta…