Title 27, INSURANCE

Sec. 18. (a) Except for a policy that conforms to the description in section 16(2) of this chapter, a group accident and sickness insurance policy may be extended to insure the employees or members, or any class or classes of employees or members, with respect to their family mem…

Sec. 19. (a) As used in this chapter, "late enrollee" has the meaning set forth in 26 U.S.C. 9801(b)(3). (b) A policy of group accident and sickness insurance may not be issued to a group that has a legal situs in Indiana unless it contains in substance: (1) the provisions descri…

Sec. 19.3. (a) This section applies to an association or a discretionary group policy of accident and sickness insurance: (1) under which a certificate of coverage is issued after June 30, 2005, to an individual member of the association or discretionary group; (2) under which a …

Sec. 2. (a) No individual policy of accident and sickness insurance shall be delivered or issued for delivery to any person in this state unless it complies with each of the following: (1) The entire money and other considerations for the policy are expressed in the policy. (2) T…

Sec. 2.5. (a) As used in this section, the term "policy of accident and sickness insurance" does not include the following: (1) Accident only, credit, dental, vision, Medicare supplement, long term care, or disability income insurance. (2) Coverage issued as a supplement to liabi…

Sec. 2.7. (a) Notwithstanding section 2.5 of this chapter and any other law, and except as provided in subsection (b), an individual policy of accident and sickness insurance that is issued after June 30, 2005, may contain a waiver of coverage for a specified condition and any co…

Sec. 20. (a) All individual accident and health insurance policies, other than those issued pursuant to direct response solicitation, must have a notice prominently printed on the first page of the policy stating in substance that the policyholder has the right to return the poli…

Sec. 21. (a) Any individual or group policy or plan of health and accident insurance regulated under this chapter or any health maintenance organization or limited service health maintenance organization regulated under IC 27-13 that provides coverage under a policy issued for de…

Sec. 22. (a) All individual policies of accident and sickness insurance issued for delivery in Indiana after June 30, 1990, must provide for the refund of unused premiums upon the death of the insured during the contract period. (b) The amount of premium refund shall be prorated …

Sec. 23. (a) This section does not apply to IC 27-8-6. (b) A statute or rule mandating that one (1) or more particular types of health care coverage be provided does not apply to an insurer unless the statute or rule applies equally to employee welfare benefit plans described in …

Sec. 24. If an insurer cancels or declines to renew a group accident and sickness policy for reasons other than fraud or nonpayment of a premium and issues a new policy to the policyholder within one (1) year after the effective date of cancellation of the policy, the insurer mus…

Sec. 25. (a) As used in this section, "employer" means an employer who offers health insurance to the employer's employees. (b) As used in this section, "insurer" means an insurer subject to IC 27. (c) When an employer that has a group policy issued by an insurer that contains ma…

Sec. 26. (a) As used in this section, "mastectomy" means the removal of all or part of the breast for reasons that are determined by a licensed physician to be medically necessary. (b) A policy of accident and sickness insurance that provides coverage for a mastectomy may not be …

Sec. 27. (a) As used in this section, "accident and sickness insurance 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), and is issued on a group basis. The term does not include the followi…

Sec. 28. A policy of accident and sickness insurance may not be issued, delivered, amended, or renewed unless the policy provides for coverage of a child of the policyholder or certificate holder, upon request of the policyholder or certificate holder, until the date that the chi…

Sec. 29. (a) The definitions in IC 27-19-2 apply throughout this section. (b) A health plan may not be offered to any person in Indiana through a health benefit exchange unless: (1) the form of the policy, classification of risks, and premium rates that apply to the health plan h…

Sec. 3. (a) Except as provided in subsection (c), each policy delivered or issued for delivery to any person in this state shall contain the provisions specified in this subsection in the words in which the same appear in this section. However, the insurer may, at its option, sub…

Sec. 30. (a) As used in this section, "insured" means an individual who is entitled to coverage under a policy of accident and sickness insurance. (b) As used in this section, "insurer" refers to an insurer that issues a policy of accident and sickness insurance. The term include…

Sec. 31.5. (a) This section applies to a policy of accident and sickness insurance that is issued, entered into, amended, or renewed after June 30, 2020. (b) The definitions in section 30 of this chapter apply throughout this section. (c) This section applies to an insurer that u…

Sec. 32. (a) This section applies only to a: (1) prescription drug that is: (A) consistent with best practices for the treatment of advanced, metastatic cancer or an associated condition; (B) supported by peer reviewed, evidence based literature; and (C) approved by the federal F…

Sec. 4. (a) No policy provision which is not subject to section 3 of this chapter shall make a policy, or any portion thereof, less favorable in any respect to the insured or the beneficiary than the provisions thereof which are subject to this chapter. (b) A policy delivered or …

Sec. 5. (a) The insured shall not be bound by any statement made in an application for a policy unless a copy of such application is attached to or endorsed on the policy when issued as a part of the policy. If any such policy delivered or issued for delivery to any person in thi…

Sec. 6. The acknowledgment by any insurer of the receipt of notice given under any policy covered by this chapter, or the furnishing of forms for filing proofs of loss, or the acceptance of such proofs, or the investigation of any claim under the policy shall not operate as a wai…

Sec. 7. If any such policy contains a provision establishing, as an age limit or otherwise, a date after which the coverage provided by the policy will not be effective, and if such date falls within a period for which premium is accepted by the insurer or if the insurer accepts …

Sec. 8. Except as otherwise expressly indicated in this section, nothing contained in sections 1 through 7 of this chapter shall apply to or affect: (1) any policy of worker's compensation insurance or any policy of liability insurance with or without supplementary coverage in th…

Sec. 9. An individual accident and sickness insurance policy form or any form of rider or endorsement appertaining to such a policy form, which could have been lawfully used or delivered or issued for delivery to any person in this state immediately before February 20, 1953, may …

Sec. 1. (a) The bail bond enforcement and administration fund is created. All fees and penalties collected by the commissioner under this article shall be paid into the fund to be utilized for the enforcement and administration of this article. The fund shall be administered by t…

Sec. 2. The money in the fund created by this chapter shall be used for the following purposes and no other: (1) The employment of a qualified investigator and investigation staff. (2) The expense of examination. (3) Licensing. (4) Forms. (5) Other related expenses necessitated b…

Sec. 3. (a) The commissioner shall appoint a qualified investigator who shall serve at the pleasure of the commissioner. The investigator shall be of good moral character, have had at least five (5) years of experience as an insurance or private investigator or equivalent experie…

Sec. 1. (a) A domestic society may amend its laws in accordance with the provisions of the domestic society by action of its supreme governing body at any regular or special meeting of the domestic society or, if its laws provide, by referendum. The referendum may be held in acco…

Sec. 2. A society may create, maintain, and operate or may establish organizations to operate not-for-profit institutions to further the purposes permitted by IC 27-11-2-3. Such institutions may furnish services free or at a reasonable charge. Any real or personal property owned,…

Sec. 3. (a) A domestic society may by a reinsurance agreement cede any individual risk or risks in whole or in part to an insurer (other than another fraternal benefit society) having the power to make the reinsurance and authorized to do business in this state or, if not so auth…

Sec. 4. (a) A domestic society may consolidate or merge with any other society by complying with this section. It shall file with the commissioner: (1) a certified copy of the written contract containing in full the terms and conditions of the consolidation or merger; (2) a sworn…

Sec. 5. Any domestic fraternal benefit society may be converted and licensed as a mutual life insurance company by compliance with all the requirements of the insurance law for mutual life insurance companies. A plan of conversion shall be prepared in writing by the board of dire…

Sec. 1. Any: (1) director; (2) officer; (3) employee; or (4) partner; of a health maintenance organization who receives, collects, disburses, or invests funds in connection with the activities of the organization has a fiduciary responsibility to the organization for the funds. A…

Sec. 2. A health maintenance organization shall maintain in force a fidelity bond or fidelity insurance on the directors, officers, employees, and partners referred to in section 1 of this chapter: (1) in an amount: (A) not less than two hundred and fifty thousand dollars ($250,0…

Sec. 1. The proposed plan of conversion and amendment to the articles of incorporation of the converting mutual shall be submitted to a vote of the members of the converting mutual, as provided in IC 27-1-8-3 and in this chapter. As added by P.L.94-1999, SEC.3.

Sec. 2. The meeting of members shall be held not later than ninety (90) days after the later of: (1) the issuance of the commissioner's order approving the conversion; or (2) the final resolution of an appeal of that decision under this article. As added by P.L.94-1999, SEC.3.…

Sec. 3. (a) The members of the converting mutual entitled to vote on the plan of conversion and the amendment to the articles of incorporation shall be given written notice of their opportunity to vote. The notice shall be accompanied by explanatory information concerning the con…

mailing Sec. 4. The notice described in section 3 of this chapter: (1) must achieve a minimum score of forty (40) on the Flesch reading ease test or an equivalent score on a comparable test approved by the commissioner; (2) shall be mailed, or provided by some other method or met…

Sec. 5. (a) Only members of the converting mutual as of both: (1) the date the converting mutual's board of directors adopted the resolution proposing the plan of conversion and the amendment to the articles of incorporation; and (2) the record date for the members' meeting estab…

Sec. 6. Notwithstanding IC 27-1-7-9, a member may vote by proxy only if: (1) the proxy was solicited and obtained from the member for the express purpose of voting on the plan of conversion and the amendment to the articles of incorporation; and (2) the proxy solicitation materia…

Sec. 7. The proposed plan of conversion and amendment to the converting mutual's articles of incorporation shall be approved by the members upon receiving the affirmative votes of: (1) at least two-thirds (2/3) of the members voting at the meeting; and (2) if the plan provides fo…

Sec. 1. Upon filing an initial registration application under IC 27-16-4-2, a PEO shall pay an initial registration fee not to exceed five hundred dollars ($500). As added by P.L.245-2005, SEC.7.

Sec. 2. Upon the filing of an annual renewal of a registration under IC 27-16-4-4, a PEO shall pay a renewal fee not to exceed two hundred fifty dollars ($250). As added by P.L.245-2005, SEC.7.

Sec. 3. Upon initial application for limited registration under IC 27-16-4-6 and upon each annual renewal of the limited registration, a PEO shall pay a fee not to exceed two hundred fifty dollars ($250). As added by P.L.245-2005, SEC.7.