Sec. 3. (a) As used in this chapter, “health insurance coverage” includes:

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

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Terms Used In Indiana Code 27-1-49-3

  • Contract: A legal written agreement that becomes binding when signed.
  • covered individual: means an individual who is entitled to health insurance coverage. See Indiana Code 27-1-49-1
  • Dependent: A person dependent for support upon another.
  • health insurance coverage: includes :

    Indiana Code 27-1-49-3

  • Insurance: means a contract of insurance or an agreement by which one (1) party, for a consideration, promises to pay money or its equivalent or to do an act valuable to the insured upon the destruction, loss or injury of something in which the other party has a pecuniary interest, or in consideration of a price paid, adequate to the risk, becomes security to the other against loss by certain specified risks; to grant indemnity or security against loss for a consideration. See Indiana Code 27-1-2-3
(2) an individual contract (as defined in IC 27-13-1-21) that provides coverage for basic health care services (as defined in IC 27-13-1-4); and

(3) any other health plan that is issued on an individual basis;

that is subject to state law regulating insurance and offers health insurance coverage (as defined in 42 U.S.C. §§ 300gg91). The term includes coverage of a dependent of the covered individual under an individual policy or contract described in subdivisions (1) through (3).

     (b) The term does not include a self-funded health benefit plan that complies with the federal Employee Retirement Income Security Act (ERISA) of 1974 (29 U.S.C. § 1001 et seq.).

As added by P.L.166-2023, SEC.2. Amended by P.L.9-2024, SEC.481.