§ 27-8-5-0.1 Application of certain amendments to chapter
§ 27-8-5-1 Policy of accident and sickness insurance; filing; review; conformity with federal act
§ 27-8-5-1.5 Filing, review, approval, and disapproval process
§ 27-8-5-2 Requirements for issuance and delivery of policy
§ 27-8-5-2.5 Coverage under individual, and certain association group, policies of accident and sickness insurance; waivers
§ 27-8-5-2.7 Individual policy of accident and sickness insurance; waiver of coverage
§ 27-8-5-3 Required provisions; statutory option provisions; inapplicable or inconsistent provisions; order of provisions; third party ownership; requirements of other jurisdictions; filing procedure
§ 27-8-5-4 Effect of other policy provisions or policy conflicting with chapter
§ 27-8-5-5 Application; attaching copy to policy; furnishing copy to insured; alterations; effect of false statements
§ 27-8-5-6 Defenses of insurer; acts not constituting waiver
§ 27-8-5-7 Acceptance of premium for period beyond termination date; effect; misstatement of age
§ 27-8-5-8 Exemption of accident and sickness coverage incidental to designated other forms of insurance
§ 27-8-5-9 Exemption of certain individual policies
§ 27-8-5-11 Franchise plan; accident and sickness insurance; definitions, limitations, requirements, and standards
§ 27-8-5-12 Supplementary character of chapter
§ 27-8-5-13 Repeal of 1935 act
§ 27-8-5-14 Exception of fraternal benefit associations
§ 27-8-5-15 Blanket accident and sickness insurance; qualification of groups; policy provisions; payment of benefits
§ 27-8-5-15.5 Inpatient services for treatment of mental illness or substance abuse
§ 27-8-5-15.6 Treatment limitations or financial requirements on coverage of services for mental illness
§ 27-8-5-15.7 Exemption of policies or contracts from laws resulting in certain annual premium increases
§ 27-8-5-15.8 “Treatment of a mental illness or substance abuse”; “act”; “nonqualitative treatment limitations”; insurer reporting and analysis requirements
§ 27-8-5-15.9 Mental health detention as medically necessary
§ 27-8-5-16 Policy of group accident and sickness insurance; requirements
§ 27-8-5-16.3 “Small employer”; implementation of program for joint purchase of health insurance; rules
§ 27-8-5-16.5 Conditions for issuance of certificate to resident of Indiana under group policy delivered or issued in another state
§ 27-8-5-17 Exceptions; discretionary groups; group accident and sickness insurance
§ 27-8-5-18 Extension to family members or dependents; premiums; exclusions; group accident and sickness insurance
§ 27-8-5-19 Contents; group accident and sickness insurance
§ 27-8-5-19.3 Association and discretionary group policies of accident and sickness insurance; waiver of coverage
§ 27-8-5-20 Notice of right to return policy
§ 27-8-5-21 Adopted children
§ 27-8-5-22 Refund of unused premiums
§ 27-8-5-23 Statute or rule mandating particular types of health care coverage; applications to insurer
§ 27-8-5-24 Insured issued new policy within year after cancellation or nonrenewal; mandatory coverage
§ 27-8-5-25 Maternity benefits; replacement of discontinued policy; prohibition on preexisting condition limitation or exclusion of coverage
§ 27-8-5-26 Post-mastectomy coverage
§ 27-8-5-27 Dental care provisions required
§ 27-8-5-28 Coverage of child to 26 years of age
§ 27-8-5-29 Health plans offered through health benefit exchange
§ 27-8-5-30 Step therapy protocol
§ 27-8-5-31.5 Insurer removing prescription drug from formulary or changing cost sharing; written notice and appeal process
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Terms Used In Indiana Code > Title 27 > Article 8 > Chapter 5 - Accident and Sickness Insurance?Policy Provisions

  • 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.
  • Annuity: A periodic (usually annual) payment of a fixed sum of money for either the life of the recipient or for a fixed number of years. A series of payments under a contract from an insurance company, a trust company, or an individual. Annuity payments are made at regular intervals over a period of more than one full year.
  • 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.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Continuance: Putting off of a hearing ot trial until a later time.
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Dependent: A person dependent for support upon another.
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • 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.
  • Fraud: Intentional deception resulting in injury to another.
  • 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
  • Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
  • in writing: include printing, lithographing, or other mode of representing words and letters. See Indiana Code 1-1-4-5
  • Insured: as used in this chapter , shall not be construed as preventing a person other than the insured with a proper insurable interest from making application for and owning a policy covering the insured or from being entitled under such a policy to any indemnities, benefits, and rights provided therein. See Indiana Code 27-8-5-3
  • Intestate: Dying without leaving a will.
  • 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
  • late enrollee: has the meaning set forth in Indiana Code 27-8-5-19
  • 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
  • minor: is a person under the age of eighteen (18) years. See Indiana Code 27-8-5-3
  • policy of accident and sickness insurance: as used in this chapter , includes any policy or contract covering one (1) or more of the kinds of insurance described in Class 1(b) or 2(a) of IC 27-1-5-1. See Indiana Code 27-8-5-1
  • Property: includes personal and real property. See Indiana Code 1-1-4-5
  • Statute: A law passed by a legislature.
  • Trustee: A person or institution holding and administering property in trust.
  • 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