Sec. 17. (a) This chapter is not intended to affect the use by a
small employer insurer of legitimate rating factors other than claim experience, health status, or duration of coverage in the determination of premium rates.
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Terms Used In Indiana Code 27-8-15-17
- benefit design characteristics: means the following:
Indiana Code 27-8-15-5
- case characteristics: means demographic or other relevant characteristics of a small employer, as determined by a small employer insurer, that are considered by the insurer in the determination of premium rates for the small employer. See Indiana Code 27-8-15-6
- insurer: means any person who provides health insurance in Indiana. See Indiana Code 27-8-15-10
- plan: means any:
Indiana Code 27-8-15-9
- small employer: means any person, firm, corporation, limited liability company, partnership, or association actively engaged in business who, on at least fifty percent (50%) of the working days of the employer during the preceding calendar year, employed at least two (2) but not more than fifty (50) eligible employees, the majority of whom work in Indiana. See Indiana Code 27-8-15-14
- small employer insurer: means any insurer that offers a health insurance plan covering the employees of a small employer. See Indiana Code 27-8-15-15
(b) A small employer insurer shall apply rating factors, including case characteristics, consistently with respect to all small employers in a plan with substantially the same benefit design characteristics.
As added by P.L.127-1992, SEC.1.