Ind. Code § 27-7-17.5-1 "Covered individual"
Sec. 1. As used in this chapter, "covered individual" means an individual who is entitled to:
(1) dental services; or
(2) coverage of dental services.
As added by P.L.42-2022, SEC.1.
Ind. Code ch. 27-7-17.5
Ind. Code ch. 27-7-17.5
in effectInd. Code § 27-7-17.5-2 "Covered service"
Sec. 2. As used in this chapter, "covered service" means a dental service for which a reimbursement:
(1) is available under a dental plan; or
(2) would be available under a dental plan but for the application of contractual limitations such as:
(A) deductibles;
(B) copayments;
(C) coinsurance;
(D) waiting periods;
(E) annual or lifetime maximums;
(F) frequency limitations;
(G) alternative benefit payments; or
(H) any other limitation;
under the dental plan.
As added by P.L.42-2022, SEC.1.
Ind. Code § 27-7-17.5-3 "Dental plan"
Sec. 3. (a) As used in this chapter, "dental plan" means any of the following:
(1) A policy issued by an insurer (as defined in IC 27-1-2-3(x)) that provides coverage for dental services.
(2) A contract under which a health maintenance organization (as defined in IC 27-13-1-19) provides or covers dental services.
(3) A preferred provider plan (as defined in IC 27-8-11-1(g)) that provides or covers dental services.
(b) The term does not include the following:
(1) A policy providing comprehensive coverage described in Class 1(b) and Class 2(a) of IC 27-1-5-1.
(2) Accident only, Medicare supplement, long term care, or disability income insurance.
(3) Coverage issued as a supplement to liability insurance.
(4) Automobile medical payment insurance.
(5) A specified disease policy.
(6) Worker's compensation or similar insurance.
(7) A student health plan.
(8) A supplemental plan that always pays in addition to other coverage.
As added by P.L.42-2022, SEC.1.
Ind. Code § 27-7-17.5-4 "Dental service"
Sec. 4. As used in this chapter, "dental service" means any service provided by a dentist within the scope of the dentist's licensure under IC 25-14.
As added by P.L.42-2022, SEC.1.
Ind. Code § 27-7-17.5-5 "Person"
Sec. 5. As used in this chapter, "person" means an individual, a corporation, a limited liability company, a partnership, or any other legal entity.
As added by P.L.42-2022, SEC.1.
Ind. Code § 27-7-17.5-6 "Provider"
Sec. 6. As used in this chapter, "provider" means:
(1) a dentist licensed under IC 25-14; or
(2) a dental office through which one (1) or more dentists licensed under IC 25-14 provide dental services.
As added by P.L.42-2022, SEC.1.
Ind. Code § 27-7-17.5-7 Dental service; fee amount
Sec. 7. A dental plan may not directly or indirectly require a provider to provide a dental service to a covered individual at a fee amount that is:
(1) set by the dental plan; or
(2) subject to the approval of the dental plan;
unless the dental service is a covered service.
As added by P.L.42-2022, SEC.1.
Ind. Code § 27-7-17.5-8 Third party administrators; fee amount
Sec. 8. A third party administrator or other person that:
(1) is not a dental plan; but
(2) arranges for providers to provide dental services through dental plans or through another sort of network arrangement;
shall not arrange for a provider to provide dental services for a dental plan that sets the amount of the fee for the dental services unless the dental services are covered services under the dental plan.
As added by P.L.42-2022, SEC.1.
Ind. Code § 27-7-17.5-9 Orders; civil penalties
Sec. 9. (a) If:
(1) an insurer (as defined in IC 27-1-2-3(x));
(2) a health maintenance organization (as defined in IC 27-13-1-19);
(3) a preferred provider plan (as defined in IC 27-8-11-1(g)); or
(4) any other person;
violates this chapter, the insurance commissioner may enter an order requiring the person to cease and desist from violating this chapter.
(b) If a person violates a cease and desist order issued under subsection (a), the insurance commissioner, after notice and hearing under IC 4-21.5, may:
(1) impose a civil penalty upon the person of not more than ten thousand dollars ($10,000) for each day of violation;
(2) suspend or revoke the person's certificate of authority, if the person holds a certificate of authority under this title; or
(3) both impose a civil penalty upon the person under subdivision (1) and suspend or revoke the person's certificate of authority under subdivision (2).
As added by P.L.42-2022, SEC.1.
Source: Open US Law by Vaquill AI (CC BY 4.0)URL: https://iga.in.gov/laws/2026/ic/titles/27Fetched: 10/17/2026