Current through P.L. 171-2024
Section 27-8-15-9 - "Health insurance plan"(a) Except as provided in section 28 of this chapter, as used in this chapter, "health insurance plan" or "plan" means any:(1) hospital or medical expense incurred policy or certificate;(2) hospital or medical service plan contract; or(3) health maintenance organization subscriber contract; provided to the employees of a small employer.
(b) The term does not include the following:(1) Accident-only, credit, dental, vision, Medicare supplement, long term care, or disability income insurance.(2) Coverage issued as a supplement to liability insurance.(3) Worker's compensation or similar insurance.(4) Automobile medical payment insurance.(5) A specified disease policy.(6) A short term insurance plan that:(A) may be renewed for the greater of:(i) thirty-six (36) months; or(ii) the maximum period permitted under federal law;(B) has a term of not more than three hundred sixty-four (364) days; and(C) has an annual limit of at least two million dollars ($2,000,000).(7) A policy that provides indemnity benefits not based on any expense incurred requirement, including a plan that provides coverage for:(A) hospital confinement, critical illness, or intensive care; or(B) gaps for deductibles or copayments.(8) A supplemental plan that always pays in addition to other coverage.(9) A student health plan.(10) An employer sponsored health benefit plan that is:(A) provided to individuals who are eligible for Medicare; and(B) not marketed as, or held out to be, a Medicare supplement policy.Amended by P.L. 288-2019,SEC. 17, eff. 7/1/2019.Amended by P.L. 11-2011, SEC. 34, eff. 7/1/2011.As added by P.L. 127-1992, SEC.1. Amended by P.L. 93-1995, SEC.11.