Title 27, INSURANCE

Sec. 2. 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.148-2001, SEC.2.

Sec. 3. As used in this chapter, "autism spectrum disorder" means a neurological condition, including Asperger's syndrome and autism, as defined in the Diagnostic and Statistical Manual of Mental Disorders. As added by P.L.148-2001, SEC.2. Amended by P.L.188-2013, SEC.21; P.L.124…

Sec. 4. (a) An accident and sickness insurance policy that is issued on a group basis must provide coverage for the treatment of an autism spectrum disorder of an insured. Coverage provided under this section is limited to treatment that is prescribed by the insured's treating ph…

Sec. 5. (a) An insurer that issues an accident and sickness insurance policy on an individual basis must offer to provide coverage for the treatment of an autism spectrum disorder of an insured. Coverage provided under this section is limited to treatment that is prescribed by th…

Sec. 1. This chapter applies to: (1) a policy of accident and sickness insurance or a health maintenance organization contract that is issued, renewed, or entered into after June 30, 2024; (2) Medicaid managed care provided by a managed care organization under a contract with the…

Sec. 10. (a) A health plan shall provide coverage for biomarker testing for the purposes of diagnosis, treatment, appropriate management, or ongoing monitoring of an enrollee's disease or condition when biomarker testing is supported by medical and scientific evidence, including:…

Sec. 2. (a) As used in this chapter, "accident and sickness policy" means an insurance policy that provides at least one (1) of the types of insurance described in IC 27-1-5-1, Classes 1(b) and 2(a). (b) The term "accident and sickness policy" does not include the following: (1) …

Sec. 3. (a) As used in this chapter, "biomarker" means a characteristic that is objectively measured and evaluated as an indicator of: (1) normal biological processes; (2) pathogenic processes; or (3) pharmacologic responses to a specific therapeutic intervention, including known…

Sec. 4. (a) As used in this chapter, "biomarker testing" means the analysis of a patient's tissue, blood, or other biospecimen for the presence of a biomarker. (b) The term includes: (1) single-analyte tests; (2) multiplex panel tests; (3) protein expression; and (4) whole exome,…

Sec. 5. As used in this chapter, "consensus statement" means a statement that is: (1) issued by an independent, multidisciplinary panel of experts that: (A) uses a transparent methodology and reporting structure; and (B) has a conflict of interest policy; (2) aimed at specific cl…

Sec. 6. As used in this chapter, "covered individual" means an individual who is entitled to coverage under a health plan. As added by P.L.37-2024, SEC.2.

Sec. 7. (a) As used in this chapter, "health plan" means any of the following: (1) A policy of accident and sickness insurance. (2) A contract with a health maintenance organization (as defined in IC 27-13-1-19) that provides coverage for basic health care services (as defined in…

Sec. 8. As used in this chapter, "nationally recognized clinical practice guidelines" means evidence based clinical practice guidelines that: (1) are developed by an independent organization or medical professional society that: (A) uses a transparent methodology and reporting st…

Sec. 9. (a) As used in this chapter, "state employee health plan" refers to either of the following: (1) A self-insurance program established under IC 5-10-8-7(b). (2) A contract with a prepaid health care delivery plan that is entered into or renewed under IC 5-10-8-7(c). (b) Th…

Sec. 0.1. The addition of this chapter by P.L.190-1997 applies to all health insurance plans issued or renewed after December 31, 1997. As added by P.L.220-2011, SEC.445.

Sec. 1. (a) As used in this chapter, "health insurance plan" means any: (1) hospital or medical expense incurred policy or certificate; (2) hospital or medical service plan contract; or (3) health maintenance organization subscriber contract; provided to an insured. (b) The term …

Sec. 2. As used in this chapter, "insured" refers to an individual with: (1) insulin-using diabetes; (2) non-insulin using diabetes; or (3) elevated blood glucose levels induced by pregnancy or another medical condition; who is covered by a health insurance plan issued by an insu…

Sec. 3. As used in this chapter, "insurer" means any person who provides health insurance and issues health insurance plans in Indiana. The term includes the following: (1) A licensed insurance company. (2) A prepaid hospital or medical service plan. (3) A health maintenance orga…

Sec. 4. A health insurance plan issued by an insurer must provide coverage to the insured for the medically necessary treatment for diabetes, including medically necessary supplies and equipment as ordered in writing by a physician licensed under IC 25-22.5 or a podiatrist licens…

Sec. 5. (a) An insured may not be required to pay an annual deductible or copayment that is greater than an annual deductible or copayment established for similar benefits under the health insurance plan. If the plan does not cover a similar benefit, the copayment or deductible m…

Sec. 6. (a) A health insurance plan issued by an insurer must provide coverage for diabetes self-management training that is: (1) medically necessary; (2) ordered in writing by a physician licensed under IC 25-22.5, a podiatrist licensed under IC 25-29, an advanced practice regis…

Sec. 7. The department may adopt rules under IC 4-22-2 to carry out this chapter. As added by P.L.190-1997, SEC.1.

Sec. 0.1. The addition of this chapter by P.L.170-1999 applies to accident and sickness insurance policies that are issued, delivered, or renewed after June 30, 1999. As added by P.L.220-2011, SEC.446.

Sec. 1. (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 group basis. (b) "Accident and sickness in…

Sec. 2. As used in this chapter, "insured" means a male individual who is entitled to coverage under a policy of accident and sickness insurance. As added by P.L.170-1999, SEC.4.

Sec. 3. As used in this chapter, "prostate specific antigen test" means a standard blood test performed to determine the level of prostate specific antigen in the blood. As added by P.L.170-1999, SEC.4.

Sec. 4. (a) Except as provided in subsection (f), an insurer shall provide coverage for prostate specific antigen testing in any accident and sickness insurance policy that the insurer issues in Indiana. (b) Except as provided in subsection (f), the coverage required under subsec…

Sec. 1. (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 group basis. (b) "Accident and sickness in…

Sec. 2. As used in this chapter, "insured" means an individual who is entitled to coverage under an accident and sickness insurance policy. As added by P.L.54-2000, SEC.2.

Sec. 3. (a) As used in this section, "follow-up colonoscopy" means a colonoscopy that is performed as a follow-up to a colorectal cancer screening test, other than a colonoscopy, that is assigned a grade of "A" or "B" by the United States Preventive Services Task Force and for wh…

Sec. 1. This chapter governs the qualifications and procedures for the licensing of insurance producers. This chapter does not apply to surplus lines producers licensed under IC 27-1-15.8 except as specifically provided in this chapter or in IC 27-1-15.8. As added by P.L.132-2001…

Sec. 10. Before an insurance producer may do business in Indiana under any name other than the producer's legal name, the insurance producer shall notify the commissioner of the proposed use of the assumed name. As added by P.L.132-2001, SEC.3.

Sec. 11. (a) If the commissioner considers the issuance of a temporary license necessary for the servicing of an insurance business, the commissioner, without requiring an examination, may issue a temporary insurance producer license for a period of not more than one hundred eigh…

Sec. 12. (a) For purposes of this section, "permanently revoke" means that: (1) the producer's license shall never be reinstated; and (2) the former licensee, after the license revocation, is not eligible to submit an application for a license to the department. (b) The commissio…

Sec. 13. (a) An insurance company or insurance producer shall not pay a commission, service fee, brokerage fee, or other valuable consideration to a person for selling, soliciting, or negotiating insurance in Indiana if the person is required to be licensed under this chapter and…

Sec. 13.5. (a) This section applies only to the following: (1) An individual, group, franchise, or blanket policy of accident and sickness insurance, as defined in IC 27-8-5-1. However, this section does not apply to the types of insurance and coverage described in IC 27-8-5-2.5(…

Sec. 13.6. (a) This section applies to the sale, solicitation, or negotiation by an insurance producer of the following: (1) A policy of accident and sickness insurance (as defined in IC 27-8-5-1) issued on a group, a franchise, or a blanket basis. However, this section does not …

Sec. 14. An insurance producer shall not act as an agent of an insurer unless the insurance producer becomes an appointed producer of the insurer. An insurance producer who is not acting as an agent of an insurer is not required to become appointed. As added by P.L.132-2001, SEC.…

Sec. 15. (a) An insurer or authorized representative of an insurer that terminates the appointment, employment, contract, or other insurance business relationship with a producer shall notify the commissioner not more than thirty (30) days after the effective date of the terminat…

Sec. 16. (a) The commissioner shall waive any requirements, except the requirements imposed by section 8 of this chapter, for a nonresident license applicant with a valid license from the applicant's home state if the applicant's home state awards nonresident licenses to resident…

Sec. 17. (a) A producer shall report to the commissioner any administrative action taken against the producer in another jurisdiction or by another governmental agency in Indiana not more than thirty (30) days after the final disposition of the matter. The report shall include a …

Sec. 18. The commissioner may issue a limited lines producer's license to the following without examination: (1) A limited lines travel insurance producer. (2) A limited line credit insurance producer. (3) A person who will only negotiate or solicit insurance under Class 2(j) of …

Sec. 19. (a) As used in this section, "prearranged funeral insurance" means insurance that is used to fund any of the following: (1) A funeral trust under IC 30-2-10 and IC 30-2-13. (2) Any other arrangement for advance payment of funeral and burial expenses. (b) A person shall n…

Sec. 19.5. (a) As used in this section, "annuity" means an annuity that is: (1) an insurance product under Indiana law; and (2) solicited individually, regardless of whether the insurance product is classified as an individual annuity or a group annuity. (b) A person may not sell…

Sec. 19.9. (a) The commissioner may issue a limited lines travel insurance producer license to a person that files an application with the commissioner for a limited lines travel producer insurance license in the form and manner prescribed by the commissioner. A limited lines tra…

Sec. 2. Except as otherwise provided in this section, the following definitions apply throughout this chapter, IC 27-1-15.7, IC 27-1-15.8, and IC 27-7-17: (1) "Bureau" refers to the child support bureau established by IC 31-25-3-1. (2) "Business entity" means a corporation, an as…