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Indiana · Snapshot 2026

IC 27-1-44.5-2: "Health payer"

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Where this section sits in the code
  1. TITLE 27. INSURANCE
  2. ARTICLE 1. DEPARTMENT OF INSURANCE
  3. Chapter 44.5. All Payer Claims Data Base

Sec. 2. As used in this chapter, "health payer" includes the following:

(1) Medicare.

(2) Medicaid or a managed care organization (as defined in IC 12-7-2.1-218) that has contracted with Medicaid to provide services to a Medicaid recipient.

(3) An insurer that issues a policy of accident and sickness insurance (as defined in IC 27-8-5-1), except for the following types of coverage:

(A) Accident only, credit, dental, vision, long term care, or disability income insurance.

(B) Coverage issued as a supplement to liability insurance.

(C) Automobile medical payment insurance.

(D) A specified disease policy.

(E) A policy that provides indemnity benefits not based on any expense incurred requirements, including a plan that provides coverage for:

(i) hospital confinement, critical illness, or intensive care; or

(ii) gaps for deductibles or copayments.

(F) Worker's compensation or similar insurance.

(G) A student health plan.

(H) A supplemental plan that always pays in addition to other coverage.

(4) A health maintenance organization (as defined in IC 27-13-1-19).

(5) A pharmacy benefit manager (as defined in IC 27-1-24.5-12).

(6) An administrator (as defined in IC 27-1-25-1).

(7) A multiple employer welfare arrangement (as defined in IC 27-1-34-1).

(8) An employee benefit plan that is subject to the federal Employee Retirement Income Security Act of 1974 (29 U.S.C. 1001 et seq.), including a third party administrator of an employee benefit plan.

(9) A state employee health plan (as defined in IC 5-10-8-6.7(a)).

(10) An insurance producer, for purposes of the required reporting under IC 27-1-15.6-13.6.

(11) Any other person identified by the commissioner for participation in the data base described in this chapter.

Collected 2026-09-25T05:39:04Z. Source file · JSON

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