Indiana Code 27-1-44.5-2. “Health payer”
(1) Medicare.
Terms Used In Indiana Code 27-1-44.5-2
- administrator: means the entity that contracts with the department to create, operate, and maintain the data base. See Indiana Code 27-1-44.5-0.2
- Commissioner: means the "insurance commissioner" of this state. See Indiana Code 27-1-2-3
- data base: refers to the all payer claims data base created under this chapter. See Indiana Code 27-1-44.5-1
- 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
- insurer: means a company, firm, partnership, association, order, society or system making any kind or kinds of insurance and shall include associations operating as Lloyds, reciprocal or inter-insurers, or individual underwriters. 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) An insurer that issues a policy of accident and sickness insurance (as defined in IC 27-8-5-1), except for the following types of coverage:
(A) Accident only, credit, dental, vision, long term care, or disability income insurance.
(B) Coverage issued as a supplement to liability insurance.
(C) Automobile medical payment insurance.
(D) A specified disease policy.
(E) A policy that provides indemnity benefits not based on any expense incurred requirements, including a plan that provides coverage for:
(i) hospital confinement, critical illness, or intensive care; or
(ii) gaps for deductibles or copayments.
(F) Worker’s compensation or similar insurance.
(G) A student health plan.
(H) A supplemental plan that always pays in addition to other coverage.
(4) A health maintenance organization (as defined in IC 27-13-1-19).
(5) A pharmacy benefit manager (as defined in IC 27-1-24.5-12).
(6) An administrator (as defined in IC 27-1-25-1).
(7) A multiple employer welfare arrangement (as defined in IC 27-1-34-1).
(8) An employee benefit plan that is subject to the federal Employee Retirement Income Security Act of 1974 (29 U.S.C. § 1001 et seq.), including a third party administrator of an employee benefit plan.
(9) A state employee health plan (as defined in IC 5-10-8-6.7(a)).
(10) Any other person identified by the commissioner for participation in the data base described in this chapter.
As added by P.L.50-2020, SEC.6. Amended by P.L.32-2021, SEC.84; P.L.195-2021, SEC.4; P.L.165-2022, SEC.6; P.L.190-2023, SEC.19.