Indiana § 27-4-10-5 - "Health insurance plan"

§ 27-4-10-5. "Health insurance plan"

Sec. 5. (a) As used in this chapter, "health insurance plan" means:

(1) a policy of accident and sickness insurance (as defined in IC 27-8-5-1);

(2) an individual contract or a group contract with a health maintenance organization under IC 27-13;

(3) a:

(A) policy of accident and sickness insurance; or

(B) limited service health maintenance organization (as defined in IC 27-13-34-4);

that provides coverage for dental care services; or

(4) another plan or program that provides payment, reimbursement, or indemnification for the costs of health care items or services.

(b) The term does not include the following:

(1) Accident only, credit, vision, Medicare supplement, long term care, or disability income insurance.

(2) Coverage issued as a supplement to liability insurance.

(3) Automobile medical payment insurance.

(4) A specified disease policy.

(5) A short term insurance plan that:

(A) may be renewed for the greater of:

(i) thirty-six (36) months; or

(ii) the maximum period permitted under federal law;

(B) has a term of not more than three hundred sixty-four (364) days; and

(C) has an annual limit of at least two million dollars ($2,000,000).

(6) A policy that provides indemnity benefits not based on any expense incurred requirement, including a plan that provides coverage for:

(A) hospital confinement, critical illness, or intensive care; or

(B) gaps for deductibles or copayments.

(7) Worker's compensation or similar insurance.

(8) A student health plan.

(9) A supplemental plan that always pays in addition to other coverage.

(10) An employer sponsored health benefit plan that is:

(A) provided to individuals who are eligible for Medicare; and

(B) not marketed as, or held out to be, a Medicare supplement policy.

(11) The Medicaid program.

As added by P.L.31-2021, SEC.4.