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§ 27-2-25-4 — Indiana Law | CourtGPT
  1. Home/
  2. Laws/
  3. Indiana/
  4. Title 27 - Insurance/
  5. Article 2 - Powers and Duties of Insurers/
  6. Chapter 25 - Health Carrier Good Faith Estimates27-2-25-0.5. Provision of Information by Health Benefit Plans/
  7. § 27-2-25-4
Indiana Legal Code

§ 27-2-25-4

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(a) As used in this chapter, 'health carrier' means an entity:(1) that is subject to this title and the administrative rules adopted under this title; and(2) that enters into a contract to:(A) provide health care services;(B) deliver health care services;(C) arrange for health care services; or(D) pay for or reimburse any of the costs of health care services.(b) The term includes the following:(1) An insurer, as defined in IC 27-1-2-3(x), that issues a policy of accident and sickness insurance, as defined in IC 27-8-5-1(a).(2) A health maintenance organization, as defined in IC 27-13-1-19.(3) An administrator (as defined in IC 27-1-25-1(a)) that is licensed under IC 27-1-25.(4) A state employee health plan offered under IC 5-10-8.(5) A short term insurance plan (as defined by IC 27-8-5.9-3).(6) Any other entity that provides a plan of health insurance, health benefits, or health care services.(c) The term does not include:(1) an insurer that issues a policy of accident and sickness insurance;(2) a limited service health maintenance organization (as defined in IC 27-13-34-4); or(3) an administrator;that only provides coverage for, or processes claims for, dental or vision

ckness insurance;(2) a limited service health maintenance organization (as defined in IC 27-13-34-4); or(3) an administrator;that only provides coverage for, or processes claims for, dental or vision care services.As added by P.L.93-2020, SEC.13.