§ 27-13-7-0.1 Application of certain amendments to chapter
§ 27-13-7-1 Persons entitled to copies of contracts
§ 27-13-7-2 Deceptive contract provisions prohibited
§ 27-13-7-3 Contract provisions
§ 27-13-7-4 Compliance with requirements; ten day grace period
§ 27-13-7-5 Evidence of coverage
§ 27-13-7-6 Evidence of coverage; prohibited provisions
§ 27-13-7-7 Evidence of coverage; required statement
§ 27-13-7-7.5 Prohibition on coverage of abortion; exceptions; coverage through rider or endorsement
§ 27-13-7-8 Readability standards
§ 27-13-7-9 Approval of forms by commissioner
§ 27-13-7-10 Coverage outside Indiana; commissioner’s approval not required
§ 27-13-7-11 Filing of form with commissioner; review period; approval; withdrawal of approval; hearing
§ 27-13-7-12 Additional information required by commissioner
§ 27-13-7-13 Continuation of coverage statement
§ 27-13-7-14 Post-mastectomy coverage
§ 27-13-7-14.2 “Treatment of a mental illness or substance abuse”; “act”; “nonqualitative treatment limitations”; reporting and analysis requirements for individual and group contracts
§ 27-13-7-14.5 Coverage for nonexperimental, surgical treatment of morbid obesity
§ 27-13-7-14.7 Coverage for autism spectrum disorders
§ 27-13-7-14.8 Treatment limitations or financial requirements on coverage of services for mental illness
§ 27-13-7-15 Dental care provisions required
§ 27-13-7-15.3 Breast cancer screening mammography
§ 27-13-7-16 Prostate specific antigen test
§ 27-13-7-17 Coverage for colorectal cancer screening; exception for grandfathered health plans
§ 27-13-7-18 Inherited metabolic disease coverage
§ 27-13-7-19 Coverage for orthotic devices and prosthetic devices
§ 27-13-7-20 Prohibition on chemotherapy coverage limitations
§ 27-13-7-20.1 Individual or group contract providing coverage for prescription eye drops; refill of prescription eye drops; requirements
§ 27-13-7-20.2 Coverage for care related to cancer clinical trials
§ 27-13-7-20.4 Applicability; coverage for methadone for treatment of pain
§ 27-13-7-21 High breast density
§ 27-13-7-22 Coverage of telehealth services; prohibition on requiring use of specific information technology application
§ 27-13-7-23 Step therapy protocol
§ 27-13-7-24 Coverage for anatomical gifts, transplantation, or related health care services
§ 27-13-7-24.5 Coverage for chronic pain management
§ 27-13-7-26 Coverage for pediatric neuropsychiatric disorders
§ 27-13-7-27 Reimbursement for emergency medical services
§ 27-13-7-28 Mental health detention as medically necessary
§ 27-13-7-28.5 Coverage for wearable cardioverter defibrillators
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Terms Used In Indiana Code > Title 27 > Article 13 > Chapter 7 - Requirements for Group Contracts, Individual Contracts, and Evidence of Coverage

  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Autism: means a neurological condition as described in the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association. See Indiana Code 1-1-4-5
  • Baseline: Projection of the receipts, outlays, and other budget amounts that would ensue in the future without any change in existing policy. Baseline projections are used to gauge the extent to which proposed legislation, if enacted into law, would alter current spending and revenue levels.
  • Contract: A legal written agreement that becomes binding when signed.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Grace period: The number of days you'll have to pay your bill for purchases in full without triggering a finance charge. Source: Federal Reserve
  • in writing: include printing, lithographing, or other mode of representing words and letters. See Indiana Code 1-1-4-5
  • Judgment: means all final orders, decrees, and determinations in an action and all orders upon which executions may issue. See Indiana Code 1-1-4-5
  • medical record: means written or printed information possessed by a provider (as defined in IC 16-18-2-295) concerning any diagnosis, treatment, or prognosis of the patient, unless otherwise defined. See Indiana Code 1-1-4-5
  • Trial: A hearing that takes place when the defendant pleads "not guilty" and witnesses are required to come to court to give evidence.
  • United States: includes the District of Columbia and the commonwealths, possessions, states in free association with the United States, and the territories. See Indiana Code 1-1-4-5
  • Year: means a calendar year, unless otherwise expressed. See Indiana Code 1-1-4-5