Indiana Code 27-1-37.5-5. “Health plan”
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Sec. 5. (a) As used in this chapter, “health plan” means any of the following that provides coverage for health care services:
(2) A contract with 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).
(1) A policy of accident and sickness insurance (as defined in IC 27-8-5-1). However, the term does not include the coverages described in IC 27-8-5-2.5(a).
Terms Used In Indiana Code 27-1-37.5-5
- Contract: A legal written agreement that becomes binding when signed.
- Insurance: means a contract of insurance or an agreement by which one (1) party, for a consideration, promises to pay money or its equivalent or to do an act valuable to the insured upon the destruction, loss or injury of something in which the other party has a pecuniary interest, or in consideration of a price paid, adequate to the risk, becomes security to the other against loss by certain specified risks; to grant indemnity or security against loss for a consideration. See Indiana Code 27-1-2-3
- person: includes individuals, corporations, associations, and partnerships; personal pronoun includes all genders; the singular includes the plural and the plural includes the singular. See Indiana Code 27-1-2-3
(3) After December 31, 2020, the Medicaid risk based managed care program under IC 12-15.
(b) The term includes a person that administers any of the following:
(1) A policy described in subsection (a)(1).
(2) A contract described in subsection (a)(2).
(3) A self-insurance program established under IC 5-10-8-7(b) to provide health care coverage.
(4) After December 31, 2020, Medicaid risk based managed care.
As added by P.L.77-2018, SEC.2. Amended by P.L.265-2019, SEC.3.