Title 27, INSURANCE

Sec. 15. A contracting entity that is a party to a provider network contract shall make a copy of the provider network contract relied on in the adjudication of a claim available to a participating provider not more than thirty (30) days after the date of the participating provid…

Sec. 16. When entering into a provider network contract with providers, a contracting entity shall not reject a provider as a party to the provider network contract because the provider chooses or has chosen under section 11(b)(1)(A) of this chapter not to participate in third pa…

Sec. 17. (a) Section 11 of this chapter does not apply to access as described in section 11(a) of this chapter if granted by a contracting entity to: (1) a dental carrier or other entity operating in accordance with the same brand licensee program as the contracting entity; (2) a…

Sec. 18. The provisions of this chapter cannot be waived by contract. A contract provision that: (1) conflicts with this chapter; or (2) purports to waive any requirements of this chapter; is null and void. As added by P.L.17-2024, SEC.19.

Sec. 19. (a) If a person violates this chapter, the insurance commissioner may enter an order requiring the person to cease and desist from violating this chapter. (b) If a person violates a cease and desist order issued under subsection (a), the insurance commissioner, after not…

Sec. 2. As used in this chapter, "covered individual" means an individual who is entitled to: (1) dental services; or (2) coverage of dental services; through a provider network contract. As added by P.L.17-2024, SEC.19.

Sec. 3. As used in this chapter, "dental carrier" means any of the following: (1) An insurer that issues a policy of accident and sickness insurance that covers dental services. (2) A health maintenance organization that provides, or provides coverage for, dental services. (3) An…

Sec. 4. (a) As used in this chapter, "dental plan" means any of the following: (1) A policy issued by an insurer (as defined in IC 27-1-2-3(x)) that provides coverage for dental services. (2) A contract under which a health maintenance organization (as defined in IC 27-13-1-19) p…

Sec. 5. (a) As used in this chapter, "dental service" means any service provided by a dentist within the scope of the dentist's licensure under IC 25-14. (b) The term does not include a service delivered by a provider that is billed as a medical expense. As added by P.L.17-2024, …

Sec. 6. As used in this chapter, "health insurer" means: (1) an insurer that issues policies of accident and sickness insurance (as defined in IC 27-8-5-1); or (2) a health maintenance organization (as defined in IC 27-13-1-19). As added by P.L.17-2024, SEC.19.

Sec. 7. As used in this chapter, "person" means an individual, a corporation, a limited liability company, a partnership, or any other legal entity. As added by P.L.17-2024, SEC.19.

Sec. 8. (a) As used in this chapter, "provider" means: (1) a dentist licensed under IC 25-14; or (2) a dental office through which one (1) or more dentists licensed under IC 25-14 provide dental services. (b) The term does not include a physician organization or physician hospita…

Sec. 9. As used in this chapter, "provider network contract" means a contract between a contracting entity and one (1) or more providers: (1) that establishes a network through which the providers: (A) provide dental services to covered individuals; and (B) are compensated for pr…

Sec. 1. This chapter applies to every life insurance policy issued in Indiana or issued for delivery in Indiana, irrespective of the date of issue. As added by P.L.129-1992, SEC.1.

Sec. 2. As used in this chapter, "charitable entity" means an entity that is exempt from federal taxation under Section 501(c)(3) of the Internal Revenue Code (26 U.S.C. 501(c)(3)). As added by P.L.129-1992, SEC.1. Amended by P.L.124-2018, SEC.83.

Sec. 3. As used in this chapter, "life insurance policy" means an insurance policy that provides the type of insurance described in Class 1(a) of IC 27-1-5-1. As added by P.L.129-1992, SEC.1.

Sec. 4. (a) A charitable entity may: (1) purchase; (2) own; or (3) be transferred ownership of; a life insurance policy on the life of an individual if the individual consents to the charitable entity's purchase or ownership of the policy. (b) A charitable entity that purchases o…

Sec. 5. A life insurance company that is requested to: (1) issue a life insurance policy; or (2) transfer ownership of a life insurance policy; to an entity that is purported to be a charitable entity has no obligation to inquire into the legal status of that entity under any law…

Sec. 6. A life insurance company is entitled to rely on the representations made in apparent good faith by the owner or putative owner of a life insurance policy for the purpose of inducing the life insurance company to accept an entity as the owner or beneficiary of the life ins…

Sec. 1. Any foreign life insurance company authorized to do business in this state, and empowered by the laws of the state, territory or insular possession of the United States, or the District of Columbia under which it was incorporated to reincorporate, is hereby authorized to …

Sec. 2. (a) The board of directors of any such company desiring to reorganize under this article shall, after full compliance with the laws of state, territory, or insular possession of the United States, or the District of Columbia, under which the company was incorporated or or…

Sec. 3. The articles of reorganization shall be presented to the department, accompanied by a certified copy of the resolution of the board of directors adopting and approving the same, signed by the president and secretary of the company. The department may approve or disapprove…

Sec. 4. When the provisions of sections 1, 2, and 3 of this chapter have been complied with and the applicant has fulfilled all the requirements imposed by this article upon a similar domestic company doing a like business, then the commissioner may, in his discretion, issue a ce…

Sec. 5. Any such corporation so organizing under the provisions of this article is hereby required to faithfully carry out any and all rights, duties, obligations, contracts, and any and all other liabilities of every kind and description existing in its favor or against it at th…

Sec. 6. Upon compliance with the provisions of this article, the entire assets of any such corporation shall thereby become vested in the new corporation. The name of the new corporation may be the same as the former corporation, or, upon resolution of the board of trustees or di…

Sec. 7. Such new corporation shall hereafter make its reports in accordance with the laws of the state of Indiana, and shall be subject to the exclusive regulation and supervision of the department of insurance of the state of Indiana, and thereafter shall make its applications f…

Sec. 8. The board of directors, or other governing body, of such corporation, shall remain for the new corporation, the same as for the old, until changed by the board of directors of the new corporation. Their election and terms of office shall remain the same as they were prior…

Sec. 0.1. The addition of this chapter by P.L.187-1996 applies only to claims made or a cause of action that arises after June 30, 1996. As added by P.L.220-2011, SEC.428.

Sec. 1. As used in this chapter, "governmental agency" means any: (1) department; (2) division; (3) public agency; (4) political subdivision; or (5) other public instrumentality; of a political subdivision, the state of Indiana, or the federal government. As added by P.L.187-1996…

Sec. 2. As used in this chapter, "insurer" means a person who transacts a property and casualty insurance business. As added by P.L.187-1996, SEC.1.

Sec. 3. As used in this chapter, "law enforcement agency" means an agency or a department of any level of government whose principal function is the apprehension of criminal offenders. The term includes the office of the inspector general. As added by P.L.187-1996, SEC.1. Amended…

Sec. 4. As used in this chapter, "person" includes individuals, corporations, associations, limited liability companies, and partnerships. As added by P.L.187-1996, SEC.1.

Sec. 5. As used in this chapter, "political subdivision" has the meaning set forth in IC 36-1-2-13. As added by P.L.187-1996, SEC.1.

Sec. 6. (a) Except as provided in subsections (b) and (c), a law enforcement agency, an insurer, or a governmental agency that has reason to believe that an application for insurance or a claim for insurance proceeds is being, or is likely to be, presented: (1) based upon misrepr…

Sec. 7. (a) As used in this section, "representative" includes: (1) a representative investigative agency; and (2) an attorney; of a law enforcement agency, insurer, or governmental agency. (b) Any: (1) law enforcement agency, insurer, or governmental agency; or (2) agent, employ…

Sec. 8. (a) A law enforcement agency, insurer, or governmental agency who has obtained the names and addresses of a claimant's medical providers under section 6(b) of this chapter may obtain the claimant's medical records and medical reports from any other law enforcement agency,…

Sec. 9. For the purpose of insurance fraud investigation, if another provision in Indiana law regarding the release or receipt of information conflicts with this chapter, this chapter governs and controls. As added by P.L.187-1996, SEC.1.

Sec. 1. This chapter applies to a policy that is entered into, amended, or renewed after June 30, 2026. As added by P.L.51-2026, SEC.9.

Sec. 2. As used in this chapter, "employer's liability insurance" means the type of insurance described in IC 27-1-5-1, Class 2(b). As added by P.L.51-2026, SEC.9.

Sec. 3. As used in this chapter, "insurer" means a company that is authorized under IC 27-1-3-20 to engage in the business of insurance in Indiana. As added by P.L.51-2026, SEC.9.

Sec. 4. As used in this chapter, "participant" refers to any of the following: (1) An employer that employs a student in a work based learning program. (2) A student who is enrolled in a work based learning program. (3) An intermediary (as defined in IC 21-18-1-3.5). (4) A school…

Sec. 5. As used in this chapter, "work based learning program" has the meaning set forth in IC 20-20.5-11.5-3. As added by P.L.51-2026, SEC.9. Amended by P.L.145-2026, SEC.309.

Sec. 6. Any: (1) underwriting decision made by an insurer that issues a policy of employer's liability insurance or worker's compensation insurance to provide coverage for a participant; or (2) rating factor applied to a participant for a policy described in subdivision (1); must…

Sec. 1. As used in this chapter, "discontinuance" means the termination of the contract between a group contract holder and a health maintenance organization due to the receivership of the health maintenance organization. The term does not refer to the termination of an individua…

Sec. 2. (a) A carrier that provides replacement coverage with respect to group health care services after the discontinuance of the prior health maintenance organization contract or policy providing health care services must, immediately upon beginning to provide the replacement …

Sec. 3. (a) Except as provided in subsection (b), a provision in a succeeding carrier's contract of replacement coverage that would operate to reduce or exclude benefits on the basis that the condition giving rise to the benefits preexisted the effective date of the succeeding ca…