Sec. 6. (a) As used in this section, “insurer” means:

(1) an issuer of an accident and sickness insurance policy; or

Ask an insurance law question, get an answer ASAP!
Click here to chat with a lawyer about your rights.

Terms Used In Indiana Code 27-8-5.8-6

  • accident and sickness insurance policy: means an insurance policy that provides at least one (1) of the types of insurance described in IC 27-1-5-1, Classes 1(b) and 2(a), and is issued on a group basis. See Indiana Code 27-8-5.8-1
  • insured: means an individual who is entitled to coverage under an accident and sickness insurance policy. See Indiana Code 27-8-5.8-3
(2) a third party administrator of health benefits and services under an accident and sickness insurance policy.

     (b) The electronic data base by which an insurer allows an insured or a provider to verify an insured’s coverage or benefits under an accident and sickness insurance policy issued or administered by the insurer must include the following information for each insured:

(1) Whether health benefits and services under the accident and sickness insurance policy are provided by:

(A) the issuer of the accident and sickness insurance policy; or

(B) a third party administrator.

(2) Whether the accident and sickness insurance policy is subject to state or federal regulation.

     (c) The department of insurance shall adopt rules under IC 4-22-2 to ensure compliance with this section.

As added by P.L.111-2020, SEC.12.