Terms Used In Indiana Code > Title 4 > Article 33 > Chapter 4 - Powers and Duties of Indiana Gaming Commission

• abuse: refers to the occurrence of one (1) or more of the following acts between family members or current or former household members:

  Indiana Code 27-8-24.3-2

• accident and sickness insurance policy: means an insurance policy that:

  Indiana Code 27-8-13.4-1

• accident and sickness insurance policy: means an insurance policy that:

  Indiana Code 27-8-14-1

• accident and sickness insurance policy: means an insurance policy that:

  Indiana Code 27-8-14.1-1

• accident and sickness insurance policy: means an insurance policy that:

  Indiana Code 27-8-14.7-1

• accident and sickness insurance policy: means an insurance policy that:

  Indiana Code 27-8-14.8-1

• accident and sickness insurance policy: means an insurance policy that provides at least one (1) of the types of insurance described in IC 27-1-5-1, Classes 1(b), 2(a), 2(b), 2(e), 2(f), and 2(h). See Indiana Code 27-8-22.1-1
• accident and sickness insurance policy: means an insurance policy that provides at least one (1) of the types of insurance described in IC 27-1-5-1, Classes 1(b) and 2(a), and is issued on a group basis. See Indiana Code 27-8-24.1-1
• accident and sickness insurance policy: means an insurance policy that provides one (1) or more of the kinds of insurance described in Class 1(b) and 2(a) of IC 27-1-5-1. See Indiana Code 27-8-28-1
• accident and sickness insurance policy: has the meaning set forth in IC 27-8-28-1. See Indiana Code 27-8-29-1
• accident and sickness insurance policy: means a policy that:

  Indiana Code 27-8-30-1

• actuarial certification: means a written statement by a member of the American Academy of Actuaries that a small employer insurer is in compliance with section 16 of this chapter, based upon the person's examination, including a review of the appropriate records and of the actuarial assumptions and methods utilized by the insurer in establishing premium rates for applicable health insurance plans. See Indiana Code 27-8-15-3
• Allegation: something that someone says happened.
• Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
• an insurance policy or a health plan: refers to an insurance policy or a health maintenance organization contract described in section 1 of this chapter. See Indiana Code 27-8-24.3-4
• Annuity: A periodic (usually annual) payment of a fixed sum of money for either the life of the recipient or for a fixed number of years. A series of payments under a contract from an insurance company, a trust company, or an individual. Annuity payments are made at regular intervals over a period of more than one full year.
• appeal: means the procedure described in IC 27-8-28-17. See Indiana Code 27-8-29-2
• Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
• applicant: refers to a person that applies for a viatical settlement provider license under this chapter. See Indiana Code 27-8-19.8-1
• at-home postdelivery care: refers to health care provided to a woman at her residence by a physician licensed under Indiana Code 27-8-24-2
• Attorney: includes a counselor or other person authorized to appear and represent a party in an action or special proceeding. See Indiana Code 1-1-4-5
• base premium rate: means the lowest premium rate charged or that could have been charged under a rating system by the small employer insurer to small employers with similar case characteristics and benefit design characteristics. See Indiana Code 27-8-15-4
• Baseline: Projection of the receipts, outlays, and other budget amounts that would ensue in the future without any change in existing policy. Baseline projections are used to gauge the extent to which proposed legislation, if enacted into law, would alter current spending and revenue levels.
• Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. ^{Source: OCC}
• benefit design characteristics: means the following:

  Indiana Code 27-8-15-5

• Bequest: Property gifted by will.
• breast cancer screening mammography: means a standard, two (2) view per breast, low-dose radiographic examination of the breasts that is:

  Indiana Code 27-8-14-2

• care method: means the use of a particular drug or device in a particular manner. See Indiana Code 27-8-25-1
• case characteristics: means demographic or other relevant characteristics of a small employer, as determined by a small employer insurer, that are considered by the insurer in the determination of premium rates for the small employer. See Indiana Code 27-8-15-6
• charitable entity: means an entity that is exempt from federal taxation under Section 501(c)(3) of the Internal Revenue Code (26 U. See Indiana Code 27-8-18-2
• child: refers to a child who is less than eighteen (18) years of age. See Indiana Code 27-8-23-3
• claim information: means the following:

  Indiana Code 27-8-22-2

• claim review agent: means any entity performing medical claims review on behalf of an insurance company, a health maintenance organization, or another benefit program providing payment, reimbursement, or indemnification for health care costs to an enrollee. See Indiana Code 27-8-16-1
• claim review consultant: means a person who:

  Indiana Code 27-8-16-1.5

• clinical trial: means a Phase I, II, III, or IV research study:

  Indiana Code 27-8-25-2

• commissioner: refers to the commissioner of the department of insurance. See Indiana Code 27-8-15-7
• commissioner: refers to the commissioner of the department of insurance. See Indiana Code 27-8-20-1
• commissioner: refers to the insurance commissioner appointed under IC 27-1-1-2. See Indiana Code 27-8-28-2
• commissioner: refers to the insurance commissioner appointed under IC 27-1-1-2. See Indiana Code 27-8-29-3
• Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
• Continuance: Putting off of a hearing ot trial until a later time.
• Contract: A legal written agreement that becomes binding when signed.
• contracted provider: means a health care provider that has entered into an agreement under IC 27-8-11-3 with an insurer that issues a policy of accident and sickness insurance. See Indiana Code 27-8-25-3
• Conviction: A judgement of guilt against a criminal defendant.
• Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
• covered individual: means :

  Indiana Code 27-8-17-1

• covered individual: means an individual who is entitled to coverage under an accident and sickness insurance policy. See Indiana Code 27-8-24.1-2
• covered individual: means an individual entitled to coverage under a policy of accident and sickness insurance. See Indiana Code 27-8-25-4
• covered individual: means an individual who is covered under an accident and sickness insurance policy. See Indiana Code 27-8-28-3
• covered individual: has the meaning set forth in IC 27-8-28-3. See Indiana Code 27-8-29-4
• Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
• department: refers to the department of insurance. See Indiana Code 27-8-15-8
• department: refers to the department of insurance. See Indiana Code 27-8-16-2
• department: refers to the department of insurance. See Indiana Code 27-8-17-2
• department: refers to the department of insurance. See Indiana Code 27-8-19.8-2
• department: refers to the department of insurance. See Indiana Code 27-8-28-4
• department: refers to the department of insurance. See Indiana Code 27-8-29-5
• Dependent: A person dependent for support upon another.
• Devise: To gift property by will.
• drug: means a drug or biologic that is used in an anticancer chemotherapeutic regimen. See Indiana Code 27-8-20-2
• eligible employee: means an employee:

  Indiana Code 27-8-15-8.5

• enrollee: means an individual who has contracted for or who participates in coverage under an insurance policy, a health maintenance organization contract, or another benefit program providing payment, reimbursement, or indemnification for the costs of health care for:

  Indiana Code 27-8-16-3

• enrollee: means an individual who has contracted for or who participates in coverage under an insurance policy issued under insurance classes 1(b) and 2(a) of IC 27-1-5-1, health maintenance organization contract, or other benefit program providing payment, reimbursement, or indemnification for the costs of health care for:

  Indiana Code 27-8-17-3

• Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. ^{Source: U.S. Courts}
• Escrow: Money given to a third party to be held for payment until certain conditions are met.
• Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
• external grievance: means the independent review under IC 27-8-29 of a grievance filed under this chapter. See Indiana Code 27-8-28-5
• external grievance: means the independent review under this chapter of a:

  Indiana Code 27-8-29-6

• Fiduciary: A trustee, executor, or administrator.
• first steps program: means the program established under Indiana Code 27-8-27-3
• Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
• Fraud: Intentional deception resulting in injury to another.
• grievance: means any dissatisfaction expressed by or on behalf of a covered individual regarding:

  Indiana Code 27-8-28-6

• grievance: has the meaning set forth in IC 27-8-28-6. See Indiana Code 27-8-29-7
• grievance procedure: means a written procedure established and maintained by an insurer for filing, investigating, and resolving grievances and appeals. See Indiana Code 27-8-28-7
• health care provider: means a:

  Indiana Code 27-8-14.1-2

• health care provider: has the meaning set forth in IC 34-18-2-14. See Indiana Code 27-8-22-1
• health care provider: means a person:

  Indiana Code 27-8-29-9

• health insurance plan: means any:

  Indiana Code 27-8-14.5-1

• health insurance policy: means any individual or group accident and sickness policy, contract, subscriber agreement, rider, endorsement, or any contract providing for the delivery of health care benefits, delivered or issued for delivery in Indiana after June 30, 1996, by any of the following:

  Indiana Code 27-8-24.7-1

• health maintenance organization: has the meaning set forth in IC 27-13-1-19. See Indiana Code 27-8-17-4
• health maintenance organization: has the meaning set forth in IC 27-13-1-19. See Indiana Code 27-8-20-5
• high breast density: means a condition in which there is a greater amount of breast and connective tissue in comparison to fat in the breast. See Indiana Code 27-8-13.5-2
• in writing: include printing, lithographing, or other mode of representing words and letters. See Indiana Code 1-1-4-5
• 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}
• individual: means a natural person whether adult or minor. See Indiana Code 27-8-24.3-3
• inherited metabolic disease: means a disease:

  Indiana Code 27-8-24.1-3

• insurance policy: means an accident and sickness policy (as defined in IC 27-8-5-1). See Indiana Code 27-8-20-3
• insured: means an individual who is entitled to coverage under a policy of accident and sickness insurance. See Indiana Code 27-8-13.5-3
• insured: means an individual who is entitled to coverage under a policy of accident and sickness insurance. See Indiana Code 27-8-14-3
• insured: refers to an individual with:

  Indiana Code 27-8-14.5-2

• insured: means a male individual who is entitled to coverage under a policy of accident and sickness insurance. See Indiana Code 27-8-14.7-2
• insured: means an individual who is entitled to coverage under an accident and sickness insurance policy. See Indiana Code 27-8-14.8-2
• insured: refers to an individual whose life is the subject of insurance under a life insurance policy or contract. See Indiana Code 27-8-19.8-3
• insured: means an individual who is entitled to coverage under a policy of accident and sickness insurance. See Indiana Code 27-8-24.2-1
• insured: means an individual who is entitled to the benefits provided by a health insurance policy. See Indiana Code 27-8-24.7-3
• insured: means an individual covered by a health insurance plan. See Indiana Code 27-8-27-5
• insured: means :

  Indiana Code 27-8-28-8

• insured: means an individual who is entitled to coverage under a policy of accident and sickness insurance. See Indiana Code 27-8-31.2-2
• insurer: means any person who provides health insurance and issues health insurance plans in Indiana. See Indiana Code 27-8-14.5-3
• insurer: means any person who provides health insurance in Indiana. See Indiana Code 27-8-15-10
• insurer: means :

  Indiana Code 27-8-22.1-2

• insurer: has the meaning set forth in IC 12-7-2-120. See Indiana Code 27-8-23-4
• insurer: means a company, a firm, a partnership, an association, an order, a society, or a system:

  Indiana Code 27-8-24.3-5

• insurer: means any person who delivers or issues for delivery an accident and sickness insurance policy or certificate in Indiana. See Indiana Code 27-8-28-9
• insurer: has the meaning set forth in IC 27-8-28-9. See Indiana Code 27-8-29-11
• insurer: refers to an insurer (as defined in IC 27-1-2-3) that issues a policy of accident and sickness insurance. See Indiana Code 27-8-31.2-1
• Interest rate: The amount paid by a borrower to a lender in exchange for the use of the lender's money for a certain period of time. Interest is paid on loans or on debt instruments, such as notes or bonds, either at regular intervals or as part of a lump sum payment when the issue matures. ^{Source: OCC}
• Judgement: The official decision of a court finally determining the respective rights and claims of the parties to a suit.
• Judgment: means all final orders, decrees, and determinations in an action and all orders upon which executions may issue. See Indiana Code 1-1-4-5
• Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
• late enrollee: means an eligible employee or a dependent of an eligible employee who did not request enrollment in a health insurance plan of a small employer during the initial enrollment period during which the individual was entitled to enroll under the health insurance plan. See Indiana Code 27-8-15-10.5
• Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). ^{Source: OCC}
• Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
• life insurance policy: means an insurance policy that provides the type of insurance described in Class 1(a) of IC 27-1-5-1. See Indiana Code 27-8-18-3
• mammography services provider: means a person or facility that:

  Indiana Code 27-8-14-4

• maternity benefits: refers to the provision of health care to a woman before, during, and after delivery of a child, including physician, hospital, laboratory, and ultrasound services. See Indiana Code 27-8-24-3
• medical claims review: means the determination of the reimbursement to be provided under the terms of an insurance policy, a health maintenance organization contract, or another benefit program providing payment, reimbursement, or indemnification for health care costs based on the appropriateness of health care services or the amount charged for a health care service delivered to an enrollee. See Indiana Code 27-8-16-4
• medical food: means a formula that is:

  Indiana Code 27-8-24.1-4

• medical record: means written or printed information possessed by a provider (as defined in Ind. See Indiana Code 1-1-4-5
• midpoint rate: means for small employers with similar case and benefit design characteristics the arithmetic average of the applicable base premium rate and the corresponding highest premium rate. See Indiana Code 27-8-15-11
• minor: means a person less than eighteen (18) years of age. See Indiana Code 1-1-4-5
• Month: means a calendar month, unless otherwise expressed. See Indiana Code 1-1-4-5
• morbid obesity: means :

  Indiana Code 27-8-14.1-3

• Mortgage: The written agreement pledging property to a creditor as collateral for a loan.
• new business premium rate: means the premium rate charged or offered by the small employer insurer to small employers with similar case characteristics and benefit design characteristics for newly issued health insurance plans. See Indiana Code 27-8-15-12
• Nolo contendere: No contest-has the same effect as a plea of guilty, as far as the criminal sentence is concerned, but may not be considered as an admission of guilt for any other purpose.
• noncontracted provider: means a health care provider that has not entered into an agreement to serve as a contracted provider. See Indiana Code 27-8-25-5
• Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
• Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
• person: means an individual, a corporation, a limited liability company, a partnership, or an unincorporated association. See Indiana Code 27-8-16-4.5
• person: means an individual, an association, a corporation, a limited liability corporation, an estate, a partnership, a trust, or any other business or legal entity. See Indiana Code 27-8-19.8-7
• plan: means any:

  Indiana Code 27-8-15-9

• policy of accident and sickness insurance: has the meaning set forth in IC 27-8-5-1. See Indiana Code 27-8-13.5-4
• policy of accident and sickness insurance: has the meaning set forth in IC 27-8-5-1. See Indiana Code 27-8-24.2-3
• policy of accident and sickness insurance: has the meaning set forth in IC 27-8-5-1. See Indiana Code 27-8-25-6
• policy of accident and sickness insurance: has the meaning set forth in IC 27-8-5-1. See Indiana Code 27-8-31.2-4
• Population: has the meaning set forth in Ind. See Indiana Code 1-1-4-5
• Power of attorney: A written instrument which authorizes one person to act as another's agent or attorney. The power of attorney may be for a definite, specific act, or it may be general in nature. The terms of the written power of attorney may specify when it will expire. If not, the power of attorney usually expires when the person granting it dies. ^{Source: OCC}
• Property: includes personal and real property. See Indiana Code 1-1-4-5
• Prosecute: To charge someone with a crime. A prosecutor tries a criminal case on behalf of the government.
• prostate specific antigen test: means a standard blood test performed to determine the level of prostate specific antigen in the blood. See Indiana Code 27-8-14.7-3
• prosthetic device: means an artificial leg or arm. See Indiana Code 27-8-24.2-4
• provider: has the meaning set forth in IC 27-8-11-1. See Indiana Code 27-8-22.1-3
• provider of record: means the physician or other licensed practitioner identified to a utilization review agent as having primary responsibility for the care, treatment, and services rendered to a covered individual. See Indiana Code 27-8-17-5
• Proxy voting: The practice of allowing a legislator to cast a vote in committee for an absent legislator.
• rating period: means the calendar period for which premium rates established by a small employer insurer are assumed to be in effect, as determined by the small employer insurer. See Indiana Code 27-8-15-13
• representative: has the meaning set forth in IC 16-36-1-2. See Indiana Code 27-8-22-3
• Rescission: The cancellation of budget authority previously provided by Congress. The Impoundment Control Act of 1974 specifies that the President may propose to Congress that funds be rescinded. If both Houses have not approved a rescission proposal (by passing legislation) within 45 days of continuous session, any funds being withheld must be made available for obligation.
• Service of process: The service of writs or summonses to the appropriate party.
• Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
• small employer: means any person, firm, corporation, limited liability company, partnership, or association actively engaged in business who, on at least fifty percent (50%) of the working days of the employer during the preceding calendar year, employed at least two (2) but not more than fifty (50) eligible employees, the majority of whom work in Indiana. See Indiana Code 27-8-15-14
• small employer insurer: means any insurer that offers a health insurance plan covering the employees of a small employer. See Indiana Code 27-8-15-15
• standard reference compendium: means any of the following:

  Indiana Code 27-8-20-6

• Statute: A law passed by a legislature.
• stranger originated life insurance: means a practice or plan to initiate a life insurance policy for the benefit of a third party investor who, at the time the life insurance policy is originated, has no insurable interest in the insured. See Indiana Code 27-8-19.8-7.8
• Testimony: Evidence presented orally by witnesses during trials or before grand juries.
• Tort: A civil wrong or breach of a duty to another person, as outlined by law. A very common tort is negligent operation of a motor vehicle that results in property damage and personal injury in an automobile accident.
• Trial: A hearing that takes place when the defendant pleads "not guilty" and witnesses are required to come to court to give evidence.
• Trustee: A person or institution holding and administering property in trust.
• United States: includes the District of Columbia and the commonwealths, possessions, states in free association with the United States, and the territories. See Indiana Code 1-1-4-5
• Uphold: The decision of an appellate court not to reverse a lower court decision.
• utilization review: means a system for prospective, concurrent, or retrospective review of the medical necessity and appropriateness of health care services provided or proposed to be provided to a covered individual. See Indiana Code 27-8-17-6
• utilization review agent: means any entity performing utilization review, except the following:

  Indiana Code 27-8-17-7

• utilization review determination: means the rendering of a decision based on utilization review that denies or affirms either of the following:

  Indiana Code 27-8-17-8

• Venue: The geographical location in which a case is tried.
• Verified: when applied to pleadings, means supported by oath or affirmation in writing. See Indiana Code 1-1-4-5
• viatical settlement broker: means a person that represents a viator and for a fee, commission, or other valuable consideration, solicits, offers, or attempts to negotiate viatical settlements between a viator and one (1) or more viatical settlement providers. See Indiana Code 27-8-19.8-4.5
• viatical settlement contract: means an agreement for the purchase, sale, assignment, transfer, devise, or bequest of a portion of the death benefit or ownership of a life insurance policy or contract for consideration that is less than the expected death benefit of the life insurance policy or contract. See Indiana Code 27-8-19.8-6
• viatical settlement provider: means a person, other than a viator, that:

  Indiana Code 27-8-19.8-5

• viaticated policy: means a life insurance policy or certificate that has been acquired by a viatical settlement provider under a viatical settlement contract. See Indiana Code 27-8-19.8-6.5
• viator: refers to the owner of a life insurance policy or a certificate holder under a group policy that insures the life of an insured who enters or seeks to enter into a viatical settlement contract. See Indiana Code 27-8-19.8-8
• woman at risk: means a woman who meets at least one (1) of the following descriptions:

  Indiana Code 27-8-14-5

• Year: means a calendar year, unless otherwise expressed. See Indiana Code 1-1-4-5