Ind. Code § 27-1-4.5-1 "Controlling"
Sec. 1. As used in this chapter, "controlling" has the meaning set forth in IC 23-1-43-8.
As added by P.L.239-2025, SEC.11.
Ind. Code ch. 27-1-4.5
Ind. Code ch. 27-1-4.5
in effectInd. Code § 27-1-4.5-2 "Insurer"
Note: This version of section effective until 7-1-2027. See also following version of this section, effective 7-1-2027.
Sec. 2. As used in this chapter, "insurer" includes the following:
(1) An insurer (as defined in IC 27-1-2-3(x)) that issues a policy of accident and sickness insurance (as defined in IC 27-8-5-1(a)). However, the term does not include the coverages described in IC 27-8-5-2.5(a).
(2) A health maintenance organization (as defined in IC 27-13-1-19) that provides coverage for basic health care services (as defined in IC 27-13-1-4).
(3) A managed care organization (as defined in IC 12-7-2-126.9) that provides services to a Medicaid recipient.
(4) A prepaid health care delivery plan under IC 5-10-8-7(c) that provides group health coverage for state employees.
As added by P.L.239-2025, SEC.11.
Ind. Code § 27-1-4.5-2 "Insurer"
Note: This version of section effective 7-1-2027. See also preceding version of this section, effective until 7-1-2027.
Sec. 2. As used in this chapter, "insurer" includes the following:
(1) An insurer (as defined in IC 27-1-2-3(x)) that issues a policy of accident and sickness insurance (as defined in IC 27-8-5-1(a)). However, the term does not include the coverages described in IC 27-8-5-2.5(a).
(2) A health maintenance organization (as defined in IC 27-13-1-19) that provides coverage for basic health care services (as defined in IC 27-13-1-4).
(3) A managed care organization (as defined in IC 12-7-2.1-218) that provides services to a Medicaid recipient.
(4) A prepaid health care delivery plan under IC 5-10-8-7(c) that provides group health coverage for state employees.
As added by P.L.239-2025, SEC.11. Amended by P.L.145-2026, SEC.138.
Ind. Code § 27-1-4.5-3 "Pharmacy benefit manager"
Sec. 3. As used in this chapter, "pharmacy benefit manager" has the meaning set forth in IC 27-1-24.5-12.
As added by P.L.239-2025, SEC.11.
Ind. Code § 27-1-4.5-4 "Third party administrator"
Sec. 4. As used in this chapter, "third party administrator" means an individual or entity that performs administrative services for an insurer or a self-funded health benefit plan, including:
(1) a self-funded health benefit plan that complies with the federal Employee Retirement Income Security Act (ERISA) of 1974 (29 U.S.C. 1001 et seq.); and
(2) a self-insurance program established under IC 5-10-8-7(b).
As added by P.L.239-2025, SEC.11.
Ind. Code § 27-1-4.5-5 Required reporting of ownership information by an insurer, a third party administrator, and a pharmacy benefit manager
Sec. 5. (a) Beginning July 1, 2025, and each July 1 thereafter, each insurer, third party administrator, and pharmacy benefit manager that does business in Indiana shall file with the department a report that includes the following information:
(1) The name of each person or entity that has:
(A) an ownership interest of at least five percent (5%);
(B) a controlling interest; or
(C) an interest as a private equity partner;
in the insurer, third party administrator, or pharmacy benefit manager.
(2) The business address of each person or entity identified under subdivision (1). The business address must include a:
(A) building number;
(B) street name;
(C) city name;
(D) ZIP code; and
(E) country name.
The business address may not include a post office box number.
(3) The business website, if applicable, of each person or entity identified under subdivision (1).
(4) Any of the following identification numbers, if applicable, for a person or entity identified under subdivision (1):
(A) National provider identifier (NPI).
(B) Taxpayer identification number (TIN).
(C) Employer identification number (EIN).
(D) CMS certification number (CCN).
(E) National Association of Insurance Commissioners (NAIC) identification number.
(F) A personal identification number associated with a license issued by the department of insurance.
(5) The ownership stake of each person or entity identified under subdivision (1).
A report provided under this section may not include the Social Security number of any individual.
(b) The department may not charge a fee for a report submitted under this section.
As added by P.L.239-2025, SEC.11.
Ind. Code § 27-1-4.5-6 Implementation of a plan to collect the ownership information
Sec. 6. (a) The department shall cooperate with the Indiana department of health and the secretary of state to develop and implement a plan to collect the information described in section 5 of this chapter, IC 16-21-6-3(a)(14) through IC 16-21-6-3(a)(18), and IC 23-0.5-2-13(a)(6).
(b) Before September 1 of each year, the department shall provide the information collected under section 5 of this chapter to the Indiana department of health.
As added by P.L.239-2025, SEC.11.
Ind. Code § 27-1-4.5-7 Fine for noncompliance; disciplinary action for repeated noncompliance
Sec. 7. (a) The department may assess:
(1) an insurer;
(2) a third party administrator; or
(3) a pharmacy benefit manager;
that violates section 5 of this chapter a fine of one thousand dollars ($1,000) per day for which the report is past due.
(b) A fine under this section shall be deposited into the payer affordability penalty fund established by IC 12-15-1-18.5.
(c) The department may waive a fine assessed under this section.
(d) The department may take disciplinary action against:
(1) an insurer;
(2) a third party administrator; or
(3) a pharmacy benefit manager;
that is licensed under this title for repeated violations of section 5 of this chapter.
As added by P.L.239-2025, SEC.11.
Ind. Code § 27-1-4.5-8 Annual report of the violations assessed and fines waived
Sec. 8. (a) Before December 1 of each year, the department shall submit to the legislative council an annual report of the:
(1) violations assessed; and
(2) fines waived;
under section 7 of this chapter in the previous calendar year.
(b) A report described in this section must be submitted in an electronic format under IC 5-14-6.
As added by P.L.239-2025, SEC.11.
Ind. Code § 27-1-4.5-9 Notice or bulletin of the reporting requirements
Sec. 9. (a) The department shall issue a notice or bulletin on at least two (2) occasions to notify insurers, third party administrators, and pharmacy benefit managers of the reporting requirements set forth in this chapter.
(b) A notice or bulletin issued under this section must be posted on the department's website in a manner that is easily accessible to insurers, third party administrators, and pharmacy benefit managers.
As added by P.L.239-2025, SEC.11.
Ind. Code § 27-1-4.5-10 Requirement to operate within existing appropriations
Sec. 10. In carrying out the department's duties under this chapter, the department shall operate within existing appropriations for the department.
As added by P.L.239-2025, SEC.11.
Source: Open US Law by Vaquill AI (CC BY 4.0)URL: https://iga.in.gov/laws/2026/ic/titles/27Fetched: 10/17/2026