Indiana Code 25-1-9.1-5. “Health plan”
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Sec. 5. (a) As used in this chapter, “health plan” means:
(2) an individual contract or a group contract with a health maintenance organization under IC 27-13; or
(1) a policy of accident and sickness insurance (as defined in IC 27-8-5-1);
Terms Used In Indiana Code 25-1-9.1-5
- Contract: A legal written agreement that becomes binding when signed.
- covered individual: means an individual who is entitled to coverage under a health plan. See Indiana Code 25-1-9.1-3
- Indemnification: In general, a collateral contract or assurance under which one person agrees to secure another person against either anticipated financial losses or potential adverse legal consequences. Source: FDIC
- network: means a group of two (2) or more providers that have entered into:
Indiana Code 25-1-9.1-6
(3) another plan or program that provides payment, reimbursement, or indemnification for the costs of health care items or services;
that conditions the payment of benefits, in whole or in part, on a covered individual‘s use of providers that have agreed to be part of a network.
(b) The term does not include the following:
(1) Worker’s compensation or similar insurance.
(2) Benefits provided under a certificate of exemption issued by the worker’s compensation board under IC 22-3-2-5.
(3) Medicaid (IC 12-15).
As added by P.L.147-2017, SEC.1.