Indiana § 27-11-9-4 - Construction of article

§ 27-11-9-4. Construction of article

Sec. 4. (a) Nothing contained in this article shall be so construed as to affect or apply to:

(1) grand or subordinate lodges of societies, orders, or associations doing business in Indiana that provide benefits exclusively through local or subordinate lodges;

(2) orders, societies, or associations that admit to membership only persons engaged in one (1) or more crafts or hazardous occupations, in the same or similar lines of business, insuring only their own members and their families, and the ladies' societies or ladies' auxiliaries to these orders, societies, or associations;

(3) domestic societies that limit their membership to employees of a particular city or town, designated firm, business house, or corporation that provide for a death benefit of not more than four hundred dollars ($400) or disability benefits of not more than three hundred fifty dollars ($350) to any person in any one (1) year, or both; or

(4) domestic societies or associations of a purely religious, charitable, or benevolent description that provide for a death benefit of not more than four hundred dollars ($400) or for disability benefits of not more than three hundred fifty dollars ($350) to any one (1) person in any one (1) year, or both.

(b) Any society or association described in subsection (a)(3) or (a)(4) that provides for death or disability benefits for which benefit certificates are issued, and any society or association included in subsection (a)(4) that has more than one thousand (1,000) members, shall not be exempted from this article but shall comply with all requirements of this article.

(c) A society that under this section is exempt from the requirements of this article, except any society described in subsection (a)(2), shall not give or allow or promise to give or allow to any person any compensation for procuring new members.

(d) Every society that provides for benefits in case of death or disability resulting solely from accident and that does not obligate itself to pay natural death or sick benefits shall have all of the privileges and be subject to all the applicable provisions and rules of this article, except that the provisions relating to medical examination, valuations of benefit certificates, and incontestability shall not apply to the society.

(e) The commissioner may require from any society or association, by examination or otherwise, such information as will enable the commissioner to determine whether the society or association is exempt from this article.

(f) Societies exempted under this section shall also be exempt from all other provisions of this title.

As added by P.L.262-1985, SEC.1.

IC 27-12ARTICLE 12. REPEALED[Pre-1993 Title 16 Recodification Citations:

27-12-1-1formerly 16-9.5-1-727-12-2-1New27-12-2-2formerly 16-9.5-1-327-12-2-3formerly 16-9.5-1-1(z)27-12-2-4formerly 16-9.5-1-1(w)27-12-2-5formerly 16-9.5-1-1(t)27-12-2-6formerly 16-9.5-1-1(m)27-12-2-7formerly 16-9.5-1-1(s)27-12-2-8formerly 16-9.5-1-1(e)27-12-2-9formerly 16-9.5-1-1(q)27-12-2-10formerly 16-9.5-1-1(o)27-12-2-11formerly 16-9.5-1-1(p)27-12-2-12formerly 16-9.5-1-1(y)27-12-2-13formerly 16-9.5-1-1(i)27-12-2-14formerly 16-9.5-1-1(a)27-12-2-15formerly 16-9.5-1-1(v)27-12-2-16formerly 16-9.5-1-1(d)27-12-2-17formerly 16-9.5-1-1(l)27-12-2-18formerly 16-9.5-1-1(h)27-12-2-19formerly 16-9.5-1-1(u)27-12-2-20formerly 16-9.5-1-1(r)27-12-2-21formerly 16-9.5-1-1(x)27-12-2-22formerly 16-9.5-1-1(c)27-12-2-23formerly 16-9.5-1-1(b)27-12-2-24formerly 16-9.5-1-1(n)27-12-2-25formerly 16-9.5-1-1(f)27-12-2-26formerly 16-9.5-1-1(k)27-12-2-27formerly 16-9.5-1-1(j)27-12-2-28formerly 16-9.5-1-1(g)27-12-3-1formerly 16-9.5-1-527-12-3-2formerly 16-9.5-2-1(a)27-12-3-3formerly 16-9.5-2-1(b)27-12-3-4formerly 16-9.5-1-927-12-3-5formerly 16-9.5-4-1(e)27-12-3-6formerly 16-9.5-2-1(c)27-12-3-7formerly 16-9.5-2-827-12-4-1formerly 16-9.5-2-6(a)27-12-4-2formerly 16-9.5-2-6(b)27-12-4-3formerly 16-9.5-2-6(c)27-12-4-4formerly 16-9.5-2-6(d)27-12-5-1formerly 16-9.5-4-1(b) part27-12-5-2formerly 16-9.5-4-1(b) part, (c); 16-9.5-4-1.127-12-5-3formerly 16-9.5-4-1(d), (g)27-12-5-4formerly 16-9.5-4-1(f)27-12-6-1formerly 16-9.5-4-1(a), (b)27-12-6-2formerly 16-9.5-4-1(h)27-12-6-3formerly 16-9.5-4-1(i)27-12-6-4formerly 16-9.5-4-1(j)27-12-6-5formerly 16-9.5-4-227-12-6-6formerly 16-9.5-2-727-12-6-7formerly 16-9.5-1-1027-12-7-1formerly 16-9.5-3-127-12-7-2formerly 16-9.5-3-227-12-7-3formerly 16-9.5-9-1(b), (c) part27-12-8-1formerly 16-9.5-1-6 part27-12-8-2formerly 16-9.5-9-1(c) part27-12-8-3formerly 16-9.5-1-6 part27-12-8-4formerly 16-9.5-9-2(a)27-12-8-5formerly 16-9.5-9-2(b)27-12-8-6formerly 16-9.5-9-2.1(a), (b), (c)27-12-9-1formerly 16-9.5-9-1(d)27-12-9-2formerly 16-9.5-9-2.1(d)27-12-9-3formerly 16-9.5-6-127-12-9-4formerly 16-9.5-6-227-12-10-1formerly 16-9.5-9-1(a)27-12-10-2formerly 16-9.5-9-1(e)27-12-10-3formerly 16-9.5-9-3 part27-12-10-4formerly 16-9.5-9-3 part27-12-10-5formerly 16-9.5-9-3 part27-12-10-6formerly 16-9.5-9-3 part27-12-10-7formerly 16-9.5-9-3 part27-12-10-8formerly 16-9.5-9-3 part27-12-10-9formerly 16-9.5-9-3 part27-12-10-10formerly 16-9.5-9-3 part27-12-10-11formerly 16-9.5-9-3 part27-12-10-12formerly 16-9.5-9-3 part27-12-10-13formerly 16-9.5-9-3.5 part27-12-10-14formerly 16-9.5-9-3.5 part27-12-10-15formerly 16-9.5-9-3.5 part27-12-10-16formerly 16-9.5-9-3.5 part27-12-10-17formerly 16-9.5-9-4 part27-12-10-18formerly 16-9.5-9-4 part27-12-10-19formerly 16-9.5-9-4 part27-12-10-20formerly 16-9.5-9-527-12-10-21formerly 16-9.5-9-627-12-10-22formerly 16-9.5-9-727-12-10-23formerly 16-9.5-9-9 part27-12-10-24formerly 16-9.5-9-9 part27-12-10-25formerly 16-9.5-9-10 part27-12-10-26formerly 16-9.5-9-10 part27-12-11-1formerly 16-9.5-10-127-12-11-2formerly 16-9.5-10-227-12-11-3formerly 16-9.5-10-327-12-11-4formerly 16-9.5-10-427-12-11-5formerly 16-9.5-10-527-12-12-1formerly 16-9.5-1-4(a)27-12-12-2formerly 16-9.5-1-4(b)27-12-12-3formerly 16-9.5-1-4(c)27-12-12-4formerly 16-9.5-1-4(d)27-12-12-5formerly 16-9.5-1-4(e)27-12-12-6formerly 16-9.5-1-4(f)27-12-12-7formerly 16-9.5-1-4(g)27-12-12-8formerly 16-9.5-1-4(h)27-12-12-9formerly 16-9.5-1-4(i)27-12-13-1formerly 16-9.5-7-127-12-13-2formerly 16-9.5-7-227-12-13-3formerly 16-9.5-7-327-12-13-4formerly 16-9.5-7-427-12-13-5formerly 16-9.5-7-527-12-14-1formerly 16-9.5-2-2.1(b)27-12-14-2formerly 16-9.5-2-2.1(a)27-12-14-3formerly 16-9.5-2-227-12-14-4formerly 16-9.5-2-2.227-12-14-5formerly 16-9.5-2-2.327-12-15-1formerly 16-9.5-4-427-12-15-2formerly 16-9.5-2-2.427-12-15-3formerly 16-9.5-4-327-12-15-4formerly 16-9.5-4-2.527-12-16-1formerly 16-9.5-2-327-12-16-2formerly 16-9.5-2-427-12-16-3formerly 16-9.5-2-527-12-17-1formerly 16-9.5-8-127-12-17-2formerly 16-9.5-8-227-12-17-3formerly 16-9.5-8-327-12-17-4formerly 16-9.5-8-427-12-17-5formerly 16-9.5-8-527-12-17-6formerly 16-9.5-8-627-12-17-7formerly 16-9.5-8-727-12-17-8formerly 16-9.5-8-827-12-18-1formerly 16-9.5-5-1(a)27-12-18-2formerly 16-9.5-5-1(b).]Repealed by P.L.1-1998, SEC.221.

IC 27-13ARTICLE 13. HEALTH MAINTENANCE ORGANIZATIONS

Ch. 1.Definitions Ch. 2.Establishment of Health Maintenance Organizations Ch. 3.Issuance of Certificates of Authority Ch. 4.Powers of Health Maintenance Organizations Ch. 5.Fiduciary Responsibilities Ch. 6.Quality Management Programs Ch. 7.Requirements for Group Contracts, Individual Contracts, and Evidence of Coverage Ch. 8.Annual Report Ch. 9.Information to Enrollees or Subscribers Ch. 10.Grievance Procedures Ch. 10.1.External Review of Grievances Ch. 11.Investments Ch. 12.Protection Against Insolvency; Net Worth Requirements Ch. 13.Protection Against Insolvency; Deposit Requirements Ch. 14.Protection Against Insolvency; Liabilities Ch. 15.Participating Providers; Contracts and Legal Actions Ch. 16.Repealed Ch. 17.Protection Against Insolvency; Notice of Termination Ch. 18.Repealed Ch. 19.Replacement Coverage in Event of Receivership Ch. 20.Filing Requirements Ch. 21.Insurance Producers of Health Maintenance Organizations and Limited Service Health Maintenance Organizations Ch. 22.Powers of Insurers and Hospital Corporations Ch. 23.Examinations Ch. 24.Suspension, Revocation, or Denial of Certificate of Authority Ch. 25.Rehabilitation or Liquidation of Health Maintenance Organizations Ch. 26.Summary of Orders and Supervision Ch. 27.Fees Ch. 28.Penalties and Enforcement Ch. 29.Statutory Construction and Relationship to Other Laws Ch. 30.Filings and Reports as Public Documents Ch. 31.Confidentiality of Medical Information and Limitation of Liability Ch. 32.Transfers of Ownership Ch. 32.5.Voluntary Dissolution Ch. 33.Coordination of Benefits Ch. 34.Limited Service Health Maintenance Organizations Ch. 35.General Rulemaking Authority Ch. 36.Patient Protection; Clinical Decision Making; Access to Personnel and Facilities Ch. 36.2.Provider Payment Ch. 37.Patient Protection; Choice of Health Care Professional Ch. 37.5.Mail Order and Internet Pharmacy Designation Ch. 38.Patient Protection; Drugs and Devices; Drug Utilization Review Program Ch. 39.Patient Protection; Experimental Treatments Ch. 40.Patient Protection; Health Maintenance Organization Comparison Sheets Ch. 41.Claims Ch. 42.Specific Reporting Requirements Ch. 43.Credentialing

IC 27-13-1Chapter 1. Definitions

27-13-1-1Applicability of definitions 27-13-1-2"Admitted asset" 27-13-1-3Repealed 27-13-1-4"Basic health care services" 27-13-1-5"Capitated basis" 27-13-1-6"Carrier" 27-13-1-7"Commissioner" 27-13-1-8"Copayment" 27-13-1-9"Coverage" 27-13-1-10"Covered by a health maintenance organization" 27-13-1-10.5"Credentialing" 27-13-1-11"Deductible" 27-13-1-11.3"Department" 27-13-1-11.5"Dialysis facility" 27-13-1-11.7"Emergency" 27-13-1-12"Enrollee" 27-13-1-13"Evidence of coverage" 27-13-1-13.5"Experimental treatment" 27-13-1-14"Extension of benefits" 27-13-1-15"Grievance" 27-13-1-16"Group contract" 27-13-1-17"Group contract holder" 27-13-1-18"Health care services" 27-13-1-19"Health maintenance organization" 27-13-1-20"In-plan covered services" 27-13-1-21"Individual contract" 27-13-1-21.3"Insurance producer" 27-13-1-21.5"Managed hospital payment basis" 27-13-1-22"Net worth" 27-13-1-23"Out-of-plan covered services" 27-13-1-24"Participating provider" 27-13-1-25"Person" 27-13-1-26"Point-of-service product" 27-13-1-27"Limited service health maintenance organization" 27-13-1-27.5"Primary care provider" 27-13-1-28"Provider" 27-13-1-28.5"Quality assurance" 27-13-1-29"Receivership" 27-13-1-30"Replacement coverage" 27-13-1-31"Service area" 27-13-1-32"Subscriber" 27-13-1-33"Subscriber premiums" 27-13-1-34"Telehealth services"