reglab/housing_qa huggingface dataset:
IN Code § 27-8-13.5-2 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 13.5. Coverage for Medical Services for Women With High Breast Density|27-8-13.5-2. "High Breast Density"

Sec. 2. As used in this chapter, "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.As added by P.L.126-2013, SEC.4.
IN Code § 27-8-13.5-3 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 13.5. Coverage for Medical Services for Women With High Breast Density|27-8-13.5-3. "Insured"

Sec. 3. As used in this chapter, "insured" means an individual who is entitled to coverage under a policy of accident and sickness insurance.As added by P.L.126-2013, SEC.4.
IN Code § 27-8-13.5-4 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 13.5. Coverage for Medical Services for Women With High Breast Density|27-8-13.5-4. "Policy of Accident and Sickness Insurance"

Sec. 4. As used in this chapter, "policy of accident and sickness insurance" has the meaning set forth in IC 27-8-5-1. 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) Automobile medical payment insurance.(4) A specified disease policy.(5) 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).(6) 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.(7) Worker's compensation or similar insurance.(8) A student health plan.(9) A supplemental plan that always pays in addition to other coverage.(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.As added by P.L.126-2013, SEC.4. Amended by P.L.288-2019, SEC.10.
IN Code § 27-8-13.5-5 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 13.5. Coverage for Medical Services for Women With High Breast Density|27-8-13.5-5. High Breast Density

Sec. 5. A policy of accident and sickness insurance must provide coverage for an appropriate medical screening, test, or examination for a female insured who is at least forty (40) years of age and who has been determined to have high breast density.As added by P.L.126-2013, SEC.4.
IN Code § 27-8-14-0.1 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 14. Coverage for Services Related to Breast Cancer Screening|27-8-14-0.1. Application of Chapter; Application of Certain Amendments to Chapter

Sec. 0.1. (a) The addition of this chapter and the amendments made to IC 13-1-2-11 (before its repeal, now codified at IC 16-41-35-30) by P.L.119-1991 apply to an insurance policy that is issued or renewed after June 30, 1991.(b) The amendments made to section 6 of this chapter by P.L.170-1999 apply to accident and sickness insurance policies that are issued, delivered, or renewed after June 30, 1999.As added by P.L.220-2011, SEC.443.
IN Code § 27-8-14-1 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 14. Coverage for Services Related to Breast Cancer Screening|27-8-14-1. "Accident and Sickness Insurance Policy"

Sec. 1. (a) As used in this chapter, "accident and sickness insurance policy" means an insurance policy that:(1) provides one (1) or more of the types of insurance described in IC 27-1-5-1, classes 1(b) and 2(a); and(2) is issued on a group basis.(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.As added by P.L.119-1991, SEC.3. Amended by P.L.173-2007, SEC.30; P.L.288-2019, SEC.11.
IN Code § 27-8-14-2 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 14. Coverage for Services Related to Breast Cancer Screening|27-8-14-2. "Breast Cancer Screening Mammography"

Sec. 2. (a) As used in this chapter, "breast cancer screening mammography" means a standard, two (2) view per breast, low-dose radiographic examination of the breasts that is:(1) furnished to an asymptomatic woman; and(2) performed by a mammography services provider using equipment designed by the manufacturer for and dedicated specifically to mammography in order to detect unsuspected breast cancer.(b) The term includes the interpretation of the results of a breast cancer screening mammography by a physician.As added by P.L.119-1991, SEC.3.
IN Code § 27-8-14-3 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 14. Coverage for Services Related to Breast Cancer Screening|27-8-14-3. "Insured"

Sec. 3. As used in this chapter, "insured" means an individual who is entitled to coverage under a policy of accident and sickness insurance.As added by P.L.119-1991, SEC.3.
IN Code § 27-8-14-4 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 14. Coverage for Services Related to Breast Cancer Screening|27-8-14-4. "Mammography Services Provider"

Sec. 4. As used in this chapter, "mammography services provider" means a person or facility that:(1) has been accredited by the American College of Radiology;(2) meets equivalent guidelines established by the state department of health; or(3) certified by the Federal Department of Health and Human Services for participation in the Medicare program (42 U.S.C. 1395 et seq.).As added by P.L.119-1991, SEC.3. Amended by P.L.2-1992, SEC.787.
IN Code § 27-8-14-5 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 14. Coverage for Services Related to Breast Cancer Screening|27-8-14-5. "Woman at Risk"

Sec. 5. As used in this chapter, "woman at risk" means a woman who meets at least one (1) of the following descriptions:(1) A woman who has a personal history of breast cancer.(2) A woman who has a personal history of breast disease that was proven benign by biopsy.(3) A woman whose mother, sister, or daughter has had breast cancer.(4) A woman who is at least thirty (30) years of age and has not given birth.As added by P.L.119-1991, SEC.3.
IN Code § 27-8-14-6 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 14. Coverage for Services Related to Breast Cancer Screening|27-8-14-6. Breast Cancer Screening Mammography; Coverage

Sec. 6. (a) Except as provided in subsection (f), an insurer must provide coverage for breast cancer screening mammography in any accident and sickness insurance policy that the insurer issues in Indiana.(b) Except as provided in subsection (f), the coverage that an insurer must provide under this section must include the following:(1) If the insured is at least thirty-five (35) but less than forty (40) years of age, coverage for at least one (1) baseline breast cancer screening mammography performed upon the insured before she becomes forty (40) years of age.(2) If the insured is:(A) less than forty (40) years of age; and(B) a woman at risk;one (1) breast cancer screening mammography performed upon the insured every year.(3) If the insured is at least forty (40) years of age, one (1) breast cancer screening mammography performed upon the insured every year.(4) Any additional mammography views that are required for proper evaluation.(5) Ultrasound services, if determined medically necessary by the physician treating the insured.(c) Except as provided in subsection (f), the coverage that an insurer must provide under this section must provide reimbursement for breast cancer screening mammography at a level at least as high as:(1) the limitation on payment for screening mammography services established in 42 CFR 405.534(b)(3) according to the Medicare Economic Index at the time the breast cancer screening mammography is performed; or(2) the rate negotiated by a contract provider according to the provisions of the insurance policy;whichever is lower.(d) Except as provided in subsection (f), the coverage that an insurer must provide under this section may not be subject to dollar limits, deductibles, or coinsurance provisions that are less favorable to the insured than the dollar limits, deductibles, or coinsurance provisions applying to physical illness generally under the accident and sickness insurance policy.(e) Except as provided in subsection (f), the coverage that an insurer must provide is in addition to any benefits specifically provided for x-rays, laboratory testing, or wellness examinations.(f) In the case of insurance policies that are not employer based, the insurer must offer to provide the coverage described in subsections (a) through (e).As added by P.L.119-1991, SEC.3. Amended by P.L.170-1999, SEC.3.
IN Code § 27-8-14.1-0.1 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 14.1. Coverage for Services Related to Morbid Obesity|27-8-14.1-0.1. Application of Certain Amendments to Chapter

Sec. 0.1. The amendments made to section 4 of this chapter by P.L.196-2005 apply to an accident and sickness insurance policy that is issued, delivered, amended, or renewed after June 30, 2005.As added by P.L.220-2011, SEC.444.
IN Code § 27-8-14.1-1 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 14.1. Coverage for Services Related to Morbid Obesity|27-8-14.1-1. "Accident and Sickness Insurance Policy"

Sec. 1. (a) As used in this chapter, "accident and sickness insurance policy" means an insurance policy that:(1) provides one (1) or more of the types of insurance described in IC 27-1-5-1, classes 1(b) and 2(a); and(2) is issued on a group basis.(b) As used in this chapter, "accident and sickness insurance policy" 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.As added by P.L.78-2000, SEC.2. Amended by P.L.173-2007, SEC.31; P.L.288-2019, SEC.12.
IN Code § 27-8-14.1-2 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 14.1. Coverage for Services Related to Morbid Obesity|27-8-14.1-2. "Health Care Provider" Defined

Sec. 2. As used in this chapter, "health care provider" means a:(1) physician licensed under IC 25-22.5; or(2) hospital licensed under IC 16-21;that provides health care services for surgical treatment of morbid obesity.As added by P.L.78-2000, SEC.2.
IN Code § 27-8-14.1-3 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 14.1. Coverage for Services Related to Morbid Obesity|27-8-14.1-3. "Morbid Obesity" Defined

Sec. 3. As used in this chapter, "morbid obesity" means:(1) a body mass index of at least thirty-five (35) kilograms per meter squared, with comorbidity or coexisting medical conditions such as hypertension, cardiopulmonary conditions, sleep apnea, or diabetes; or(2) a body mass index of at least forty (40) kilograms per meter squared without comorbidity.For purposes of this section, body mass index is equal to weight in kilograms divided by height in meters squared.As added by P.L.78-2000, SEC.2. Amended by P.L.196-2005, SEC.4.
IN Code § 27-8-14.1-4 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 14.1. Coverage for Services Related to Morbid Obesity|27-8-14.1-4. Coverage for Nonexperimental, Surgical Treatment of Morbid Obesity

Sec. 4. (a) Except as provided in subsection (b), an insurer that issues an accident and sickness insurance policy shall offer coverage for nonexperimental, surgical treatment by a health care provider of morbid obesity:(1) that has persisted for at least five (5) years; and(2) for which nonsurgical treatment that is supervised by a physician has been unsuccessful for at least six (6) consecutive months.(b) An insurer that issues an accident and sickness insurance policy may not provide coverage for a surgical treatment of morbid obesity for an insured who is less than twenty-one (21) years of age unless two (2) physicians licensed under IC 25-22.5 determine that the surgery is necessary to:(1) save the life of the insured; or(2) restore the insured's ability to maintain a major life activity (as defined in IC 4-23-29-6);and each physician documents in the insured's medical record the reason for the physician's determination.As added by P.L.78-2000, SEC.2. Amended by P.L.196-2005, SEC.5; P.L.102-2006, SEC.4.
IN Code § 27-8-14.2-1 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 14.2. Insurance Coverage for Pervasive Developmental Disorders|27-8-14.2-1. "Accident and Sickness Insurance Policy"

Sec. 1. (a) As used in this chapter, "accident and sickness insurance policy" means an insurance policy that provides one (1) or more of the types of insurance described in IC 27-1-5-1, classes 1(b) and 2(a).(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.As added by P.L.148-2001, SEC.2. Amended by P.L.173-2007, SEC.32; P.L.288-2019, SEC.13.
IN Code § 27-8-14.2-2 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 14.2. Insurance Coverage for Pervasive Developmental Disorders|27-8-14.2-2. "Insured" Defined

Sec. 2. As used in this chapter, "insured" means an individual who is entitled to coverage under a policy of accident and sickness insurance.As added by P.L.148-2001, SEC.2.
IN Code § 27-8-14.2-3 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 14.2. Insurance Coverage for Pervasive Developmental Disorders|27-8-14.2-3. "Autism Spectrum Disorder"

Sec. 3. As used in this chapter, "autism spectrum disorder" means a neurological condition, including Asperger's syndrome and autism, as defined in the Diagnostic and Statistical Manual of Mental Disorders.As added by P.L.148-2001, SEC.2. Amended by P.L.188-2013, SEC.21; P.L.124-2018, SEC.80.
IN Code § 27-8-14.2-4 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 14.2. Insurance Coverage for Pervasive Developmental Disorders|27-8-14.2-4. Group Coverage Required

Sec. 4. (a) An accident and sickness insurance policy that is issued on a group basis must provide coverage for the treatment of an autism spectrum disorder of an insured. Coverage provided under this section is limited to treatment that is prescribed by the insured's treating physician in accordance with a treatment plan. An insurer may not deny or refuse to issue coverage on, refuse to contract with, or refuse to renew, refuse to reissue, or otherwise terminate or restrict coverage on an individual under an insurance policy solely because the individual is diagnosed with an autism spectrum disorder.(b) The coverage required under this section may not be subject to dollar limits, deductibles, or coinsurance provisions that are less favorable to an insured than the dollar limits, deductibles, or coinsurance provisions that apply to physical illness generally under the accident and sickness insurance policy.As added by P.L.148-2001, SEC.2. Amended by P.L.188-2013, SEC.22.
IN Code § 27-8-14.2-5 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 14.2. Insurance Coverage for Pervasive Developmental Disorders|27-8-14.2-5. Individual Coverage Required

Sec. 5. (a) An insurer that issues an accident and sickness insurance policy on an individual basis must offer to provide coverage for the treatment of an autism spectrum disorder of an insured. Coverage provided under this section is limited to treatment that is prescribed by the insured's treating physician in accordance with a treatment plan. An insurer may not deny or refuse to issue coverage on, refuse to contract with, or refuse to renew, refuse to reissue, or otherwise terminate or restrict coverage on an individual under an insurance policy solely because the individual is diagnosed with an autism spectrum disorder.(b) The coverage that must be offered under this section may not be subject to dollar limits, deductibles, or coinsurance provisions that are less favorable to an insured than the dollar limits, deductibles, or coinsurance provisions that apply to physical illness generally under the accident and sickness insurance policy.As added by P.L.148-2001, SEC.2. Amended by P.L.188-2013, SEC.23.
IN Code § 27-8-14.5-0.1 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 14.5. Coverage for Services Related to Diabetes|27-8-14.5-0.1. Application of Chapter

Sec. 0.1. The addition of this chapter by P.L.190-1997 applies to all health insurance plans issued or renewed after December 31, 1997.As added by P.L.220-2011, SEC.445.
IN Code § 27-8-14.5-1 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 14.5. Coverage for Services Related to Diabetes|27-8-14.5-1. "Health Insurance Plan"

Sec. 1. (a) As used in this chapter, "health insurance 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 an insured.(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.As added by P.L.190-1997, SEC.1. Amended by P.L.173-2007, SEC.33; P.L.288-2019, SEC.14.
IN Code § 27-8-14.5-2 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 14.5. Coverage for Services Related to Diabetes|27-8-14.5-2. "Insured" Defined

Sec. 2. As used in this chapter, "insured" refers to an individual with:(1) insulin-using diabetes;(2) non-insulin using diabetes; or(3) elevated blood glucose levels induced by pregnancy or another medical condition;who is covered by a health insurance plan issued by an insurer.As added by P.L.190-1997, SEC.1.
IN Code § 27-8-14.5-3 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 14.5. Coverage for Services Related to Diabetes|27-8-14.5-3. "Insurer" Defined

Sec. 3. As used in this chapter, "insurer" means any person who provides health insurance and issues health insurance plans in Indiana. The term includes the following:(1) A licensed insurance company.(2) A prepaid hospital or medical service plan.(3) A health maintenance organization.(4) A state employee health benefit plan.(5) The state Medicaid plan.(6) Any person providing a plan of health insurance subject to state insurance law.As added by P.L.190-1997, SEC.1.
IN Code § 27-8-14.5-4 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 14.5. Coverage for Services Related to Diabetes|27-8-14.5-4. Coverage for Treatments, Supplies, and Equipment

Sec. 4. A health insurance plan issued by an insurer must provide coverage to the insured for the medically necessary treatment for diabetes, including medically necessary supplies and equipment as ordered in writing by a physician licensed under IC 25-22.5 or a podiatrist licensed under IC 25-29, subject to the general provisions of the health insurance plan.As added by P.L.190-1997, SEC.1.