Title 27, INSURANCE

Sec. 7. (a) This section applies to an escrow account that contains funds that: (1) are received from any single party to a real estate transaction; and (2) in the aggregate are at least ten thousand dollars ($10,000). (b) A closing agent may make disbursements from an escrow acc…

Sec. 8. A closing agent may not make disbursements from an escrow account in connection with a real estate transaction unless any funds that: (1) are received from any single party to the real estate transaction; and (2) in the aggregate are less than ten thousand dollars ($10,00…

Sec. 9. If: (1) the closing agent in a real estate transaction receives wired funds unconditionally held and irrevocably credited to the escrow account of the closing agent; and (2) a holder of a mortgage lien encumbering real estate so requests, as part of written closing instru…

Sec. 1. As used in this chapter, "policy of accident and sickness insurance" has the meaning set forth in IC 27-8-5-1, offered on an individual or group basis. As added by P.L.130-2020, SEC.14.

Sec. 2. A policy of accident and sickness insurance must provide coverage for treatment of: (1) pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS); and (2) pediatric acute-onset neuropsychiatric syndrome (PANS); including treatment w…

Sec. 3. The coverage required by this chapter may not be subject to annual or lifetime limitation, deductible, copayment, or coinsurance provisions that are more restrictive than the annual or lifetime limitation, deductible, copayment, or coinsurance provisions that apply genera…

Sec. 1. (a) A health maintenance organization shall allow each enrollee of the health maintenance organization to choose the enrollee's own primary care provider from a list of participating primary care providers within the health maintenance organization. (b) The list described…

Sec. 2. (a) Each health maintenance organization shall develop a system to allow an enrollee to use an appropriate participating provider to manage the enrollee's medical condition when the enrollee's primary care provider determines that the use of another appropriate participat…

Sec. 3. Beginning July 1, 1999, each health maintenance organization shall provide continuity of care and referral to appropriate participating providers when specialty care is warranted, including the following: (1) Enrollees have access to appropriate participating providers on…

Sec. 4. (a) Each health maintenance organization shall offer to each purchaser of a group contract or individual contract a point-of-service product to the extent permitted by IC 27-13-13-8. (b) Beginning July 1, 2001, a limited service health maintenance organization that provid…

Sec. 5. Each health maintenance organization shall allow an enrollee who has received a medical opinion from a participating provider to obtain a second medical opinion from an appropriate participating provider concerning the enrollee's medical condition at the enrollee's reques…

Sec. 1. As used in this chapter, "affiliate" means a company that controls, is controlled by, or is under common control with another company. As added by P.L.130-2002, SEC.2.

Sec. 10. (a) A depository institution that solicits, sells, advertises, or offers insurance, a depository institution's affiliate that solicits, sells, advertises, or offers insurance, or a person that sells, solicits, advertises, or offers insurance on behalf of a depository ins…

Sec. 11. If: (1) a customer consents to receive the disclosure required under section 8 of this chapter electronically; and (2) the disclosure is provided to the customer in a format that the customer may retain or obtain at a later time; the depository institution, the affiliate…

Sec. 12. (a) The commissioner may examine and investigate the insurance activities of a person that the commissioner believes to be in violation of this chapter. A person examined or investigated under this section shall, upon reasonable notice from the commissioner, make the ins…

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…

Sec. 1. As used in this chapter, "commissioner" means the insurance commissioner appointed under IC 27-1-1-2. As added by P.L.38-2006, SEC.1.

Sec. 10. The department may adopt rules under IC 4-22-2 to implement this chapter. As added by P.L.38-2006, SEC.1.

Sec. 2. As used in this chapter, "consortium" refers to a self-insurance consortium established under section 7 of this chapter. As added by P.L.38-2006, SEC.1.

Sec. 3. As used in this chapter, "department" refers to the department of insurance created by IC 27-1-1-1. As added by P.L.38-2006, SEC.1.

Sec. 4. As used in this chapter, "independent postsecondary educational institution" refers to an independent, degree granting college or university that is: (1) accredited by the Higher Learning Commission of the North Central Association of Colleges and Schools; (2) chartered i…