Title 27, INSURANCE

Sec. 3. (a) A foreign corporation, other than a foreign corporation defined under IC 27-1-2-3, may obtain a certificate of authority if the foreign corporation: (1) is authorized to do business in Indiana under IC 23-0.5-5; and (2) complies with this article. (b) A foreign corpor…

Sec. 4. An application for a certificate of authority to operate a health maintenance organization must be: (1) verified by an officer or authorized representative of the applicant; and (2) submitted on a form prescribed by the commissioner. As added by P.L.26-1994, SEC.25.…

Sec. 5. An application for a certificate of authority to operate a health maintenance organization must set forth or be accompanied by the following: (1) A copy of the organizational documents of the applicant, such as the articles of incorporation, partnership agreement, trust a…

Sec. 6. (a) An applicant shall submit to the commissioner any modifications or amendments to the items of information required in an application under section 5 of this chapter. (b) The commissioner may adopt rules under this section that provide that any modifications or amendme…

Sec. 7. Any modification or amendment requiring the approval of the commissioner under rules adopted under section 6 of this chapter is considered approved unless the commissioner disapproves the modification or amendment not more than thirty (30) days after the modification or a…

Sec. 8. The commissioner may not issue a certificate of authority to operate a health maintenance organization unless the applicant has submitted to the commissioner a written waiver of the health maintenance organization's rights under the federal bankruptcy laws. As added by P.…

Sec. 9. (a) A health maintenance organization established under this article may not: (1) use as a part of its corporate name the words "United States", "Federal", "government", "official", or any word that would imply that the company is an administrative agency of the state of …

Sec. 1. The board of directors of the converting mutual shall commence the demutualization process by adopting a resolution that proposes: (1) the amendment of its articles of incorporation under IC 27-1-8-2; and (2) a plan of conversion. As added by P.L.94-1999, SEC.3.

Sec. 2. The plan of conversion, other than a simple plan of conversion, must do the following in accordance with this article: (1) Describe the manner in which the proposed conversion will occur and the insurance and any other companies that will result from or be directly affect…

Sec. 3. (a) The board of directors of the converting mutual may adopt a simple plan of conversion under this section. The simple plan of conversion must include the following: (1) The distribution to the eligible members, upon the extinguishing of their membership interests, of a…

Sec. 1. The definitions in this chapter apply throughout this article. As added by P.L.245-2005, SEC.7.

Sec. 10. "PEO group" means two (2) or more professional employer organizations that are majority owned or commonly controlled by the same entity, parent, or controlling person. As added by P.L.245-2005, SEC.7.

Sec. 11. "Person" means an individual, a partnership, a corporation, a limited liability company, an association, or another legally recognized entity. As added by P.L.245-2005, SEC.7.

Sec. 12. "Professional employer agreement" means a written contract between a person and a professional employer organization: (1) under which all or a majority of the person's employees become covered employees; (2) that provides for the allocation of employer rights and obligat…

Sec. 13. (a) "Professional employer organization" or "PEO" means a person engaged in the business of providing professional employer services. (b) The term does not include the following: (1) An arrangement through which a person: (A) whose principal business activity is an activ…

Sec. 14. "Professional employer services" means the services that are provided to a client by a professional employer organization under a professional employer agreement. As added by P.L.245-2005, SEC.7.

Sec. 15. "Temporary help service" means a service consisting of a person that: (1) recruits and hires the person's own employees, not including an officer, a manager, or a controlling person of a client to which the person's own employee is assigned by the person; (2) identifies …

Sec. 16. "Working capital" means the difference between a person's: (1) current assets; and (2) current liabilities; determined in accordance with generally accepted accounting principles. As added by P.L.11-2011, SEC.40.

Sec. 2. (a) "Administrative fee" means the fee charged to a client by a professional employer organization for professional employer services. (b) The term does not include any amount charged to a client by a professional employer organization for wages and salaries, benefits, wo…

Sec. 3. "Client" means a person that enters into a professional employer agreement with a professional employer organization. As added by P.L.245-2005, SEC.7.

Sec. 4. "Co-employed" means that an individual is contemporaneously employed by both a client and a professional employer organization. As added by P.L.245-2005, SEC.7.

Sec. 5. "Co-employer" refers to a client or a professional employer organization that has entered into a professional employer agreement and has a relationship with a co-employed individual. As added by P.L.245-2005, SEC.7.

Sec. 6. "Co-employment relationship" means a relationship: (1) between a: (A) client and a professional employer organization; or (B) co-employer and a covered employee; and (2) that results from the client and the professional employer organization entering into a professional e…

Sec. 7. "Commissioner" refers to the insurance commissioner appointed under IC 27-1-1-2. As added by P.L.245-2005, SEC.7.

Sec. 8. (a) "Covered employee" means an individual who is co-employed. (b) The term includes an individual who is an officer, a director, a shareholder, a partner, or a manager of a client to the extent the professional employer organization and the client expressly agree that th…

Sec. 9. "Department" refers to the department of insurance created by IC 27-1-1-1. As added by P.L.245-2005, SEC.7.

Sec. 1. A discount medical card program organization may not transact business in Indiana unless the discount medical card program organization is: (1) authorized to transact business in Indiana; and (2) registered under this chapter. As added by P.L.73-2006, SEC.3.

Sec. 2. (a) An application for registration to operate as a discount medical card program organization must be filed with the department on a form prescribed by the department. (b) An application filed under subsection (a) must be: (1) sworn to by an officer or authorized represe…

Sec. 3. (a) The fee for issuance of a registration under this chapter is five hundred dollars ($500). (b) A registration issued or renewed under this chapter expires annually on the last day of the month of issuance or renewal. (c) The fee for renewal of a registration under this…

Sec. 4. This article does not require a provider that provides discounted prices for medical services to the provider's patients to be registered under this chapter. As added by P.L.73-2006, SEC.3.

Sec. 5. A provider or a business entity owned by at least one (1) provider that contracts with employers or health plans to provide medical services is not required to register under this chapter. As added by P.L.73-2006, SEC.3.

Sec. 1. The definitions in this chapter apply throughout this article. As added by P.L.278-2013, SEC.27.

Sec. 10. (a) "Health plan" means a policy or contract that provides health insurance coverage. (b) The term includes a group health plan. As added by P.L.278-2013, SEC.27.

Sec. 11. "Medicaid" refers to the federal Medicaid program (42 U.S.C. 1396 et seq.). As added by P.L.278-2013, SEC.27.

Sec. 12. (a) Subject to subsections (b), (c), and (d), "navigator" means an individual who: (1) is described in Section 1311(i) of PPACA (42 U.S.C. 18031(i)); (2) assists other individuals with application for and enrollment in a health benefit exchange or public health insurance…

Sec. 13. "Person" means an individual or an entity. As added by P.L.278-2013, SEC.27.

Sec. 14. "PPACA" refers to the federal Patient Protection and Affordable Care Act (P.L. 111-148), as amended by the federal Health Care and Education Reconciliation Act of 2010 (P.L. 111-152). As added by P.L.278-2013, SEC.27.

Sec. 15. (a) "Public health insurance program" refers to health coverage provided under a state or federal government program. (b) The term includes the following: (1) Medicaid (42 U.S.C. 1396 et seq.). (2) The healthy Indiana plan established by IC 12-15-44.5-3. (3) The children…

Sec. 16. "Qualified health plan" means a health plan that has been certified under Section 1301 of PPACA (42 U.S.C. 18021(a)) to meet the criteria for availability through a health benefit exchange operated in Indiana. As added by P.L.278-2013, SEC.27.

Sec. 17. "Secretary" refers to the secretary of family and social services appointed under IC 12-8-1.5-2. As added by P.L.278-2013, SEC.27.

Sec. 2. "Administrator" refers to the administrator of the office of Medicaid policy and planning appointed under IC 12-8-6.5-2. As added by P.L.278-2013, SEC.27.

Sec. 3. (a) Subject to subsections (b) and (c), "application organization" means an entity that: (1) is a navigator described in Section 1311(i) of PPACA (42 U.S.C. 18031(i)); (2) assists individuals with application for and enrollment in a health benefit exchange or public healt…

Sec. 4. "CHIP office" refers to the office of the children's health insurance program established by IC 12-17.6-2-1. As added by P.L.278-2013, SEC.27.

Sec. 5. "Commissioner" refers to the insurance commissioner appointed under IC 27-1-1-2. As added by P.L.278-2013, SEC.27.

Sec. 6. "Department" refers to the department of insurance created by IC 27-1-1-1. As added by P.L.278-2013, SEC.27.

Sec. 7. "Group health plan" means a group health plan (as defined in Section 2791 of the federal Public Health Service Act (42 U.S.C. 300gg-91)) that provides health insurance coverage. As added by P.L.278-2013, SEC.27.