Terms Used In Indiana Code > Title 4 > Article 33 > Chapter 4 - Powers and Duties of Indiana Gaming Commission

• Accident and sickness insurance: means any policy or contract of insurance described in classes 1(b), 2(a), 2(b), or 2(l), as defined in IC 27-1-5-1. See Indiana Code 27-8-5.5-1
• accident and sickness insurance: means any policy or contract covering one (1) or more of the kinds of insurance described in classes 1(b) or 2(a) of IC 27-1-5-1, as governed by IC 27-8-5. See Indiana Code 27-8-5.6-1
• accident and sickness insurance policy: has the meaning set forth in IC 27-8-5-1. See Indiana Code 27-8-5.7-1
• 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
• accident and sickness insurance policy: means an insurance policy that:

  Indiana Code 27-8-13.4-1

• accident and sickness insurance policy: means an insurance policy that:

  Indiana Code 27-8-14-1

• accident and sickness insurance policy: means an insurance policy that:

  Indiana Code 27-8-14.1-1

• accident and sickness insurance policy: means an insurance policy that provides one (1) or more of the types of insurance described in IC 27-1-5-1, classes 1(b) and 2(a). See Indiana Code 27-8-14.2-1
• accident and sickness insurance policy: means an insurance policy that:

  Indiana Code 27-8-14.7-1

• accident and sickness insurance policy: means an insurance policy that:

  Indiana Code 27-8-14.8-1

• actuarial certification: means a written statement by a member of the American Academy of Actuaries that a small employer insurer is in compliance with section 16 of this chapter, based upon the person's examination, including a review of the appropriate records and of the actuarial assumptions and methods utilized by the insurer in establishing premium rates for applicable health insurance plans. See Indiana Code 27-8-15-3
• Adjourn: A motion to adjourn a legislative chamber or a committee, if passed, ends that day's session.
• Affidavit: A written statement of facts confirmed by the oath of the party making it, before a notary or officer having authority to administer oaths.
• 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.
• Answer: The formal written statement by a defendant responding to a civil complaint and setting forth the grounds for defense.
• 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.
• applicant: means :

  Indiana Code 27-8-12-1

• applicant: means :

  Indiana Code 27-8-13-5

• Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
• Attachment: A procedure by which a person's property is seized to pay judgments levied by the court.
• Attorney: includes a counselor or other person authorized to appear and represent a party in an action or special proceeding. See Indiana Code 1-1-4-5
• 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
• autism spectrum disorder: means a neurological condition, including Asperger's syndrome and autism, as defined in the Diagnostic and Statistical Manual of Mental Disorders. See Indiana Code 27-8-14.2-3
• Bankruptcy: Refers to statutes and judicial proceedings involving persons or businesses that cannot pay their debts and seek the assistance of the court in getting a fresh start. Under the protection of the bankruptcy court, debtors may discharge their debts, perhaps by paying a portion of each debt. Bankruptcy judges preside over these proceedings.
• base premium rate: means the lowest premium rate charged or that could have been charged under a rating system by the small employer insurer to small employers with similar case characteristics and benefit design characteristics. See Indiana Code 27-8-15-4
• 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.
• 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}
• benefit design characteristics: means the following:

  Indiana Code 27-8-15-5

• biomarker: means a characteristic that is objectively measured and evaluated as an indicator of:

  Indiana Code 27-8-14.3-3

• biomarker testing: means the analysis of a patient's tissue, blood, or other biospecimen for the presence of a biomarker. See Indiana Code 27-8-14.3-4
• breast cancer screening mammography: means a standard, two (2) view per breast, low-dose radiographic examination of the breasts that is:

  Indiana Code 27-8-14-2

• 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
• certificate: means a document issued to a member of the group covered under a group insurance policy, which policy has been delivered or issued for delivery in Indiana, to signify that the individual named in the certificate is covered under the policy. See Indiana Code 27-8-12-2
• certificate: means a certificate:

  Indiana Code 27-8-13-6

• claim review agent: means any entity performing medical claims review on behalf of an insurance company, a health maintenance organization, or another benefit program providing payment, reimbursement, or indemnification for health care costs to an enrollee. See Indiana Code 27-8-16-1
• claim review consultant: means a person who:

  Indiana Code 27-8-16-1.5

• clean claim: means a claim submitted by a provider for payment under an accident and sickness insurance policy issued in Indiana that has no defect, impropriety, or particular circumstance requiring special treatment preventing payment. See Indiana Code 27-8-5.7-2
• Clerk: means the clerk of the court or a person authorized to perform the clerk's duties. See Indiana Code 1-1-4-5
• Commissioner: means the insurance commissioner of Indiana. See Indiana Code 27-8-5.5-1
• commissioner: means the insurance commissioner appointed under IC 27-1-1-2. See Indiana Code 27-8-5.8-2
• commissioner: refers to the commissioner of the department of insurance. See Indiana Code 27-8-15-7
• Common law: The legal system that originated in England and is now in use in the United States. It is based on judicial decisions rather than legislative action.
• Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
• Continuance: Putting off of a hearing ot trial until a later time.
• Contract: A legal written agreement that becomes binding when signed.
• contracting entity: means a dental carrier, a third party administrator, or another person that enters into a provider network contract with providers for the delivery of dental services in the ordinary course of business. See Indiana Code 27-7-18-1
• Conviction: A judgement of guilt against a criminal defendant.
• 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.
• covered individual: means an individual entitled to coverage under a short term insurance plan. See Indiana Code 27-8-5.9-1
• covered individual: means an individual who is entitled to coverage under a health plan. See Indiana Code 27-8-14.3-6
• covered individual: means :

  Indiana Code 27-8-17-1

• CPT code: refers to the medical billing code that applies to a specific health care service, as published in the Current Procedural Terminology code set maintained by the American Medical Association. See Indiana Code 27-8-5.7-2.5
• Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
• dental carrier: means any of the following:

  Indiana Code 27-7-18-3

• dental plan: means any of the following:

  Indiana Code 27-7-18-4

• department: refers to the department of insurance. See Indiana Code 27-8-15-8
• department: refers to the department of insurance. See Indiana Code 27-8-16-2
• department: refers to the department of insurance. See Indiana Code 27-8-17-2
• Dependent: A person dependent for support upon another.
• eligible employee: means an employee:

  Indiana Code 27-8-15-8.5

• enrollee: means an individual who has contracted for or who participates in coverage under an insurance policy, a health maintenance organization contract, or another benefit program providing payment, reimbursement, or indemnification for the costs of health care for:

  Indiana Code 27-8-16-3

• enrollee: means an individual who has contracted for or who participates in coverage under an insurance policy issued under insurance classes 1(b) and 2(a) of IC 27-1-5-1, health maintenance organization contract, or other benefit program providing payment, reimbursement, or indemnification for the costs of health care for:

  Indiana Code 27-8-17-3

• 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.
• Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
• Fraud: Intentional deception resulting in injury to another.
• Germane: On the subject of the pending bill or other business; a strict standard of relevance.
• 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}
• Guarantor: A party who agrees to be responsible for the payment of another party's debts should that party default. ^{Source: OCC}
• 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.
• health care provider: means a:

  Indiana Code 27-8-14.1-2

• health insurer: means :

  Indiana Code 27-7-18-6

• health maintenance organization: has the meaning set forth in IC 27-13-1-19. See Indiana Code 27-8-17-4
• health plan: means any of the following:

  Indiana Code 27-8-14.3-7

• high breast density: means a condition in which there is a greater amount of breast and connective tissue in comparison to fat in the breast. See Indiana Code 27-8-13.5-2
• in writing: include printing, lithographing, or other mode of representing words and letters. See Indiana Code 1-1-4-5
• Indemnification: In general, a collateral contract or assurance under which one person agrees to secure another person against either anticipated financial losses or potential adverse legal consequences. ^{Source: FDIC}
• insurance policy: means any policy, contract, subscriber agreement, rider, or endorsement delivered or issued for delivery in Indiana by an insurer, a fraternal benefit society, a nonprofit corporation, a health maintenance organization (as defined in IC 27-13-1-19), a limited service health maintenance organization (as defined in IC 27-13-34-4), a preferred provider arrangement, or any other organization. See Indiana Code 27-8-12-4
• 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
• insured: means an individual who is entitled to coverage under an accident and sickness insurance policy. See Indiana Code 27-8-5.8-3
• insured: means an individual who is entitled to coverage under a policy of accident and sickness insurance. See Indiana Code 27-8-13.5-3
• insured: means an individual who is entitled to coverage under a policy of accident and sickness insurance. See Indiana Code 27-8-14-3
• insured: means an individual who is entitled to coverage under a policy of accident and sickness insurance. See Indiana Code 27-8-14.2-2
• insured: means a male individual who is entitled to coverage under a policy of accident and sickness insurance. See Indiana Code 27-8-14.7-2
• insured: means an individual who is entitled to coverage under an accident and sickness insurance policy. See Indiana Code 27-8-14.8-2
• insurer: means an insurance company issued a certificate of authority in Indiana to issue accident and sickness insurance policies. See Indiana Code 27-8-5.7-3
• insurer: means any person who provides health insurance in Indiana. See Indiana Code 27-8-15-10
• Interest rate: The amount paid by a borrower to a lender in exchange for the use of the lender's money for a certain period of time. Interest is paid on loans or on debt instruments, such as notes or bonds, either at regular intervals or as part of a lump sum payment when the issue matures. ^{Source: OCC}
• Interrogatories: Written questions asked by one party of an opposing party, who must answer them in writing under oath; a discovery device in a lawsuit.
• Intestate: Dying without leaving a will.
• issuer: includes :

  Indiana Code 27-8-13-7.3

• 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
• Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
• late enrollee: has the meaning set forth in Indiana Code 27-8-5-19
• late enrollee: means an eligible employee or a dependent of an eligible employee who did not request enrollment in a health insurance plan of a small employer during the initial enrollment period during which the individual was entitled to enroll under the health insurance plan. See Indiana Code 27-8-15-10.5
• Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). ^{Source: OCC}
• Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
• long term care facility: has the meaning set forth in Indiana Code 27-8-12-4.5
• long term care insurance policy: means an insurance policy providing coverage for at least twelve (12) consecutive months for each covered person on an expense incurred, indemnity, prepaid, or other basis for one (1) or more necessary diagnostic, preventive, therapeutic, rehabilitative, maintenance, or personal care services provided in a setting other than an acute care wing of a hospital. See Indiana Code 27-8-12-5
• mammography services provider: means a person or facility that:

  Indiana Code 27-8-14-4

• medical claims review: means the determination of the reimbursement to be provided under the terms of an insurance policy, a health maintenance organization contract, or another benefit program providing payment, reimbursement, or indemnification for health care costs based on the appropriateness of health care services or the amount charged for a health care service delivered to an enrollee. See Indiana Code 27-8-16-4
• 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
• medicare: means Title XVIII of the federal Social Security Act (Indiana Code 27-8-13-1
• Medicare supplement policy: means a group or individual policy of accident and sickness insurance or a subscriber contract of health maintenance organizations that is advertised, marketed, or designed primarily as a supplement to reimbursements under Medicare for the hospital, medical, or surgical expenses of persons eligible for Medicare benefits. See Indiana Code 27-8-13-3
• midpoint rate: means for small employers with similar case and benefit design characteristics the arithmetic average of the applicable base premium rate and the corresponding highest premium rate. See Indiana Code 27-8-15-11
• minor: is a person under the age of eighteen (18) years. See Indiana Code 27-8-5-3
• minor: means a person less than eighteen (18) years of age. See Indiana Code 1-1-4-5
• Month: means a calendar month, unless otherwise expressed. See Indiana Code 1-1-4-5
• morbid obesity: means :

  Indiana Code 27-8-14.1-3

• nationally recognized clinical practice guidelines: means evidence based clinical practice guidelines that:

  Indiana Code 27-8-14.3-8

• new business premium rate: means the premium rate charged or offered by the small employer insurer to small employers with similar case characteristics and benefit design characteristics for newly issued health insurance plans. See Indiana Code 27-8-15-12
• Oath: A promise to tell the truth.
• Oath: includes "affirmation" and "to swear" includes to "affirm". See Indiana Code 1-1-4-5
• Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
• Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
• person: means an individual, a corporation, a limited liability company, a partnership, or any other legal entity. See Indiana Code 27-7-18-7
• person: means an individual, a corporation, a limited liability company, a partnership, or an unincorporated association. See Indiana Code 27-8-16-4.5
• Plaintiff: The person who files the complaint in a civil lawsuit.
• plan: means any:

  Indiana Code 27-8-15-9

• 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
• policy of accident and sickness insurance: has the meaning set forth in IC 27-8-5-1. See Indiana Code 27-8-13.5-4
• Power of attorney: A written instrument which authorizes one person to act as another's agent or attorney. The power of attorney may be for a definite, specific act, or it may be general in nature. The terms of the written power of attorney may specify when it will expire. If not, the power of attorney usually expires when the person granting it dies. ^{Source: OCC}
• PPACA: has the meaning set forth in IC 27-19-2-14. See Indiana Code 27-8-5.9-2
• Precedent: A court decision in an earlier case with facts and law similar to a dispute currently before a court. Precedent will ordinarily govern the decision of a later similar case, unless a party can show that it was wrongly decided or that it differed in some significant way.
• Property: includes personal and real property. See Indiana Code 1-1-4-5
• prostate specific antigen test: means a standard blood test performed to determine the level of prostate specific antigen in the blood. See Indiana Code 27-8-14.7-3
• provider: means :

  Indiana Code 27-7-18-8

• provider: has the meaning set forth in IC 27-8-11-1. See Indiana Code 27-8-5.7-4
• provider network contract: means a contract between a contracting entity and one (1) or more providers:

  Indiana Code 27-7-18-9

• provider of record: means the physician or other licensed practitioner identified to a utilization review agent as having primary responsibility for the care, treatment, and services rendered to a covered individual. See Indiana Code 27-8-17-5
• rating period: means the calendar period for which premium rates established by a small employer insurer are assumed to be in effect, as determined by the small employer insurer. See Indiana Code 27-8-15-13
• Remainder: An interest in property that takes effect in the future at a specified time or after the occurrence of some event, such as the death of a life tenant.
• Service of process: The service of writs or summonses to the appropriate party.
• Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
• short term insurance plan: means a policy of accident and sickness insurance (as defined in IC 27-8-5-1) that:

  Indiana Code 27-8-5.9-3

• 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
• Statute: A law passed by a legislature.
• third party: means a person that enters into a contract with a contracting entity or another third party to gain access to:

  Indiana Code 27-7-18-10

• Trial: A hearing that takes place when the defendant pleads "not guilty" and witnesses are required to come to court to give evidence.
• 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
• utilization review: means a system for prospective, concurrent, or retrospective review of the medical necessity and appropriateness of health care services provided or proposed to be provided to a covered individual. See Indiana Code 27-8-17-6
• utilization review agent: means any entity performing utilization review, except the following:

  Indiana Code 27-8-17-7

• utilization review determination: means the rendering of a decision based on utilization review that denies or affirms either of the following:

  Indiana Code 27-8-17-8

• Venue: The geographical location in which a case is tried.
• Verdict: The decision of a petit jury or a judge.
• Verified: when applied to pleadings, means supported by oath or affirmation in writing. See Indiana Code 1-1-4-5
• woman at risk: means a woman who meets at least one (1) of the following descriptions:

  Indiana Code 27-8-14-5

• Writ: A formal written command, issued from the court, requiring the performance of a specific act.
• Year: means a calendar year, unless otherwise expressed. See Indiana Code 1-1-4-5