Ind. Code ch. 27-8-5.8

Ind. Code ch. 27-8-5.8
in effect

Ind. Code § 27-8-5.8-1 "Accident and sickness insurance policy"

Sec. 1. As used in this chapter, "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. The term does not include the following: (1) Accident only, credit, dental, vision, Medicare, Medicare supplement, long term care, or disability income insurance. (2) Coverage issued as a supplement to liability insurance. (3) Automobile medical payment insurance. (4) A specified disease policy. (5) A limited benefit health insurance policy. (6) A short term insurance plan that: (A) may be renewed for the greater of: (i) thirty-six (36) months; or (ii) the maximum period permitted under federal law; (B) has a term of not more than three hundred sixty-four (364) days; and (C) has an annual limit of at least two million dollars ($2,000,000). (7) A policy that provides a stipulated daily, weekly, or monthly payment to an insured during hospital confinement, without regard to the actual expense of the confinement. (8) Worker's compensation or similar insurance. (9) A student health insurance policy. As added by P.L.230-2001, SEC.2. Amended by P.L.288-2019, SEC.6.

Ind. Code § 27-8-5.8-2 "Commissioner" defined

Sec. 2. As used in this chapter, "commissioner" means the insurance commissioner appointed under IC 27-1-1-2. As added by P.L.230-2001, SEC.2.

Ind. Code § 27-8-5.8-3 "Insured" defined

Sec. 3. As used in this chapter, "insured" means an individual who is entitled to coverage under an accident and sickness insurance policy. As added by P.L.230-2001, SEC.2.

Ind. Code § 27-8-5.8-4 Prescription drug information card

Sec. 4. (a) This section applies to an insurer that: (1) issues an accident and sickness insurance policy that provides coverage for prescription drugs or devices; and (2) issues a card or other technology for claims processing. This section also applies to a third party administrator for self-insured plans, a pharmacy benefit manager, or a health benefit plan administered by the state if the administrator, manager, or plan issues a card or other technology described in subdivision (2). (b) The card or other technology issued by an insurer or another entity referred to in subsection (a) must contain uniform prescription drug information that complies with the requirements established under subsection (c). (c) Prescription drug information cards or other technology must meet either of the following criteria: (1) Be in a format and contain information fields approved by the National Council for Prescription Drug Programs (NCPDP) as contained in the National Council for Prescription Drug Programs Pharmacy ID Card Implementation Guide in effect on the October 1 most immediately preceding the issuance of the card. (2) Contain the following information: (A) The health benefit plan's name. (B) The insured's name, group number, and identification number. (C) A telephone number to inquire about pharmacy related issues. (D) The issuer's international identification number or ANSI BIN number, labeled as RxBIN. (E) The processor control number, labeled as RxPCN. (F) The insured's pharmacy benefits group number if different than the medical group number, labeled as RxGRP. Only those fields listed in clauses (A) through (F) that are required for proper adjudication of the claim must appear on the card. If the card is used to adjudicate non-pharmacy claims, then the designation "Rx" listed in clauses (D) through (F) is not required to be used by the issuer. (d) An insurer or an insurer's agents, contractors, or administrators, including pharmacy benefits managers, may not be required to issue a prescription drug information card or other technology to a person more than one (1) time during a twelve (12) month period. (e) The prescription drug information cards or other technology issued under this section may be used for health insurance coverage other than the coverage to which this chapter applies. As added by P.L.230-2001, SEC.2. Amended by P.L.1-2002, SEC.111.

Ind. Code § 27-8-5.8-5 "Health plan information card"; indication of health benefits; rules

Sec. 5. (a) As used in this section, "health plan information card" means a card that: (1) an insurer of an accident and sickness insurance policy; or (2) a third party administrator of a self-insured plan; provides to an individual so that the individual may present the card to establish the eligibility of the individual or the individual's dependents to receive health benefits or services. (b) Subject to subsection (c), a health plan information card must indicate that the health benefits and services are provided by: (1) an insurer of an accident and sickness insurance policy; or (2) a third party administrator of a self-insured plan. (c) Subsection (b) applies only to a health plan information card issued: (1) initially to a new insured; or (2) to an insured at the time of the insured's policy renewal; after June 30, 2020. (d) The department of insurance shall adopt rules under IC 4-22-2 to ensure compliance with this section. As added by P.L.111-2020, SEC.11.

Ind. Code § 27-8-5.8-6 "Insurer"; electronic data base; required information; rules

Sec. 6. (a) As used in this section, "insurer" means: (1) an issuer of an accident and sickness insurance policy; or (2) a third party administrator of health benefits and services under an accident and sickness insurance policy. (b) The electronic data base by which an insurer allows an insured or a provider to verify an insured's coverage or benefits under an accident and sickness insurance policy issued or administered by the insurer must include the following information for each insured: (1) Whether health benefits and services under the accident and sickness insurance policy are provided by: (A) the issuer of the accident and sickness insurance policy; or (B) a third party administrator. (2) Whether the accident and sickness insurance policy is subject to state or federal regulation. (c) The department of insurance shall adopt rules under IC 4-22-2 to ensure compliance with this section. As added by P.L.111-2020, SEC.12.
Source: Open US Law by Vaquill AI (CC BY 4.0)URL: https://iga.in.gov/laws/2026/ic/titles/27Fetched: 10/17/2026

Starting a business in Indiana? Indiana LLC guide: costs and requirements