{"data":{"id":"us-in/ic-27-4-10-5","jurisdiction":"us-in","citation":"IC 27-4-10-5","heading":"\"Health insurance plan\"","body":"Sec. 5. (a) As used in this chapter, \"health insurance plan\" means:\n(1) a policy of accident and sickness insurance (as defined in IC 27-8-5-1);\n(2) an individual contract or a group contract with a health maintenance organization under IC 27-13;\n(3) a:\n(A) policy of accident and sickness insurance; or\n(B) limited service health maintenance organization (as defined in IC 27-13-34-4);\nthat provides coverage for dental care services; or\n(4) another plan or program that provides payment, reimbursement, or indemnification for the costs of health care items or services.\n(b) The term does not include the following:\n(1) Accident only, credit, vision, Medicare supplement, long term care, or disability income insurance.\n(2) Coverage issued as a supplement to liability insurance.\n(3) Automobile medical payment insurance.\n(4) A specified disease policy.\n(5) A short term insurance plan that:\n(A) may be renewed for the greater of:\n(i) thirty-six (36) months; or\n(ii) the maximum period permitted under federal law;\n(B) has a term of not more than three hundred sixty-four (364) days; and\n(C) has an annual limit of at least two million dollars ($2,000,000).\n(6) A policy that provides indemnity benefits not based on any expense incurred requirement, including a plan that provides coverage for:\n(A) hospital confinement, critical illness, or intensive care; or\n(B) gaps for deductibles or copayments.\n(7) Worker's compensation or similar insurance.\n(8) A student health plan.\n(9) A supplemental plan that always pays in addition to other coverage.\n(10) An employer sponsored health benefit plan that is:\n(A) provided to individuals who are eligible for Medicare; and\n(B) not marketed as, or held out to be, a Medicare supplement policy.\n(11) The Medicaid program.","path":["TITLE 27. INSURANCE","ARTICLE 4. UNFAIR COMPETITION; UNAUTHORIZED INSURERS; FOREIGN INSURERS","Chapter 10. Virtual Claim Payments for Dental Care Services"],"source_url":"https://iga.in.gov/ic/2026/Title_27.html#27-4-10-5","current_through":"2026","vintage":"2026","retrieved_at":"2026-09-25T05:39:04Z","sha256":"4850c60b1226a5079d90501eae3fbe8166b4ba9576700999f60b030e0717aaec","source_id":"us-in","stale":false,"prev":"us-in/ic-27-4-10-4","next":"us-in/ic-27-4-10-6"},"notice":"GroundRules: Original legal text. Not legal advice."}
