{"data":{"id":"us-in/ic-27-2-25-14","jurisdiction":"us-in","citation":"IC 27-2-25-14","heading":"Requirements of good faith estimate; provision of information; exemption from penalties","body":"Sec. 14. (a) A good faith estimate provided by a health carrier to an individual under this chapter must:\n(1) in the case of an insurer or another health carrier that pays or reimburses the cost of health care services:\n(A) provide a summary of the services and material items that the good faith estimate is based on;\n(B) include a total figure that is a sum of the amounts referred to in clause (A); and\n(C) state the out-of-pocket costs the covered individual will incur, if any, beyond the amount that the health carrier will pay or reimburse; and\n(2) in the case of a health maintenance organization or another health carrier that provides health care services:\n(A) provide a summary of the applicable benefit limitations of the health care services to which the covered individual is entitled; and\n(B) state the out-of-pocket costs the covered individual will incur, if any, beyond being provided the health care services referred to in clause (A).\n(b) A practitioner and provider facility shall provide a health carrier with the information needed by the health carrier to comply with the requirements under this chapter not more than two (2) business days after receiving the request.\n(c) A health carrier is not subject to the penalties under section 16 of this chapter if:\n(1) a provider facility or practitioner fails to provide the health carrier with the information as required under subsection (b);\n(2) the health carrier provides the individual with a good faith estimate based on any information that the health carrier has; and\n(3) the health carrier provides the individual with an updated good faith estimate after the provider facility or practitioner has provided the information required under subsection (b).","path":["TITLE 27. INSURANCE","ARTICLE 2. POWERS AND DUTIES OF INSURERS","Chapter 25. Health Carrier Good Faith Estimates"],"source_url":"https://iga.in.gov/ic/2026/Title_27.html#27-2-25-14","current_through":"2026","vintage":"2026","retrieved_at":"2026-09-25T05:39:04Z","sha256":"b28389f175567b1b51e2ccb20df675e725430415774da3bf6102bdbe9a54398f","source_id":"us-in","stale":false,"prev":"us-in/ic-27-2-25-13","next":"us-in/ic-27-2-25-15"},"notice":"GroundRules: Original legal text. Not legal advice."}