reglab/housing_qa huggingface dataset:
IN Code § 27-8-6-5 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 6. Reimbursement for Certain Medical Services|27-8-6-5. Indemnity for Services Provided by Certified Registered Nurse Anesthetist

Sec. 5. (a) As used in this section, "certified registered nurse anesthetist" has the meaning set forth in IC 25-23-1-1.4.(b) As used in this section, "insured" means an individual who is entitled to the benefits provided by a policy of accident and sickness insurance. The term includes the following:(1) The policyholder of an individual policy of accident and sickness insurance.(2) A member of the group covered by a group policy of accident and sickness insurance.(3) An individual who is entitled to coverage under a policy of accident and sickness insurance as a spouse or dependent of an individual referred to in subdivision (1) or (2).(c) As used in this section, "insurer" has the meaning set forth in IC 27-1-2-3.(d) As used in this section, "policy of accident and sickness insurance" has the meaning set forth in IC 27-8-5-1.(e) An insurer that issued a policy of accident and sickness insurance that indemnifies an insured for anesthesiology services shall indemnify an insured under the policy for any covered anesthesiology services provided by a certified registered nurse anesthetist.As added by P.L.258-1995, SEC.1.
IN Code § 27-8-6-6 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 6. Reimbursement for Certain Medical Services|27-8-6-6. Coverage for Athletic Trainer Services

Sec. 6. (a) As used in this section, "policy of accident and sickness insurance" has the meaning set forth in IC 27-8-5-1. However, 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) A supplemental plan that always pays in addition to other coverage.(b) A policy of accident and sickness insurance that provides coverage for physical medicine and rehabilitative services shall provide the coverage for physical medicine and rehabilitative services that are:(1) rendered by an athletic trainer who is licensed under IC 25-5.1; and(2) within the athletic trainer's scope of practice.(c) This section does not require a policy of accident and sickness insurance to provide coverage for physical medicine or rehabilitative services generally.As added by P.L.133-2011, SEC.1. Amended by P.L.288-2019, SEC.8.
IN Code § 27-8-6-7 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 6. Reimbursement for Certain Medical Services|27-8-6-7. Coverage for Substance Abuse or Chemical Dependency Treatment by Addiction Counselors, Clinical Addiction Counselors, and Marriage and Family Therapists

Sec. 7. (a) As used in this section, "policy of accident and sickness insurance" has the meaning set forth in IC 27-8-5-1.(b) A policy of accident and sickness insurance that provides coverage for substance abuse or chemical dependency treatment shall provide the coverage for substance abuse or chemical dependency treatment that is:(1) rendered by:(A) an addiction counselor; or(B) a clinical addiction counselor;who is licensed under IC 25-23.6-10.5; and(2) within the scope of practice of the addiction counselor or clinical addiction counselor.(c) A policy of accident and sickness insurance that provides coverage for substance abuse or chemical dependency treatment shall provide the coverage for substance abuse or chemical dependency treatment that is rendered by a marriage and family therapist licensed under IC 25-23.6-8 if the rendered service is within the scope of practice of the marriage and family therapist.(d) This section does not require a policy of accident and sickness insurance to provide coverage for substance abuse or chemical dependency treatment generally.As added by P.L.195-2018, SEC.17.
IN Code § 27-8-6-8 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 6. Reimbursement for Certain Medical Services|27-8-6-8. Reimbursement for Emergency Medical Services

Sec. 8. (a) As used in this section, "emergency medical services" has the meaning set forth in IC 16-18-2-110.(b) As used in this section, "emergency medical services provider organization" means a provider of emergency medical services that is certified by the Indiana emergency medical services commission as an advanced life support provider organization under rules adopted under IC 16-31-3.(c) As used in this section, "policy of accident and sickness insurance" has the meaning set forth in IC 27-8-5-1. However, for purposes of this section, 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 policy that provides a stipulated daily, weekly, or monthly payment to an insured without regard to the actual expense of the confinement.(6) A short term insurance plan (as defined in IC 27-8-5.9-3).(d) A policy of accident and sickness insurance that provides coverage for emergency medical services must provide reimbursement for emergency medical services that are:(1) rendered by an emergency medical services provider organization;(2) within the emergency medical services provider organization's scope of practice;(3) performed or provided as advanced life support services; and(4) performed or provided during a response initiated through the 911 system regardless of whether the patient is transported.(e) If multiple emergency medical services provider organizations qualify and submit a claim for reimbursement under this section for an encounter, the insurer:(1) may reimburse under this section only for one (1) claim per patient encounter; and(2) shall reimburse the claim submitted by the emergency medical services provider organization that performed or provided the majority of advanced life support services for the patient.(f) The department may adopt rules under IC 4-22-2, including emergency rules under IC 4-22-2-37.1, to implement this section.(g) This section does not require a policy of accident and sickness insurance to provide coverage for emergency medical services.As added by P.L.115-2020, SEC.4.
IN Code § 27-8-8-0.3 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 8. Indiana Life and Health Insurance Guaranty Association Law|27-8-8-0.3. Coverage Obligations Affected by Statutory Amendments; Governing Law

Sec. 0.3. (a) The association's coverage obligations under this chapter with respect to a member insurer that has a coverage date before March 28, 2006, are not affected by changes made by P.L.193-2006.(b) The association's coverage obligations under this chapter with respect to a member insurer that has a coverage date before March 28, 2006, are governed by this chapter as it existed on January 1, 2006.(c) The amendments made during the 2013 regular session of the general assembly to section 2.1 of this chapter do not apply to a member insurer that has been placed under an order of rehabilitation or liquidation before January 1, 2013.(d) The amendment made during the 2013 regular session of the general assembly to section 2.3(e) of this chapter does not apply to a member insurer that has a coverage date before January 1, 2012.(e) The amendments made during the 2013 regular session of the general assembly to section 2.3(f) of this chapter do not apply to a member insurer that has been placed under an order of rehabilitation or liquidation before January 1, 2013.(f) The amendments made during the 2018 regular session of the general assembly to this chapter:(1) do not apply to a member insurer that has been placed under an order of rehabilitation or liquidation before July 1, 2018; and(2) apply to a member insurer that is placed under an order of rehabilitation or liquidation after June 30, 2018.As added by P.L.220-2011, SEC.438. Amended by P.L.276-2013, SEC.30; P.L.208-2018, SEC.11.
IN Code § 27-8-8-2.1 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 8. Indiana Life and Health Insurance Guaranty Association Law|27-8-8-2.1. Policy, Contract, Rider Descriptions; Plan Sponsor; Residency

Sec. 2.1. (a) For purposes of this chapter:(1) a policy or contract issued on a blanket basis is a group policy or group contract;(2) each individual insured under a policy or contract issued on a blanket basis is a certificate holder under the policy or contract; and(3) a policy or contract issued on a franchise plan to members of a qualified group is a nongroup policy or nongroup contract.(b) For purposes of this chapter, a benefit plan may have only one (1) plan sponsor.(c) For purposes of this chapter, an individual who, on the applicable coverage date:(1) is a citizen of the United States; and(2) resides in a:(A) foreign country; or(B) United States possession, territory, or protectorate;that does not have an association similar to the association created by this chapter;is considered to be a resident of the state of domicile of the insurer that issued the policies or contracts.(d) For purposes of this chapter, benefits provided under a long term care insurance rider to:(1) a life insurance policy; or(2) an annuity contract;are considered to be the same kind of benefits as the benefits under the life insurance policy or annuity contract to which the rider benefits relate.As added by P.L.193-2006, SEC.10. Amended by P.L.276-2013, SEC.32; P.L.208-2018, SEC.13.
IN Code § 27-8-8-3 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 8. Indiana Life and Health Insurance Guaranty Association Law|27-8-8-3. Creation of Association; Membership; Accounts; Supervision

Sec. 3. (a) There is created a nonprofit legal entity referred to as the Indiana Life and Health Insurance Guaranty Association. A member insurer shall be and remain a member of the association as a condition of the member insurer's authority to transact insurance in Indiana. The association shall perform its functions under the plan of operation established and approved under section 7 of this chapter. The association shall exercise its powers through a board of directors established under section 4 of this chapter. For purposes of administration and assessment the association shall maintain the following two (2) accounts:(1) The health account.(2) The life insurance and annuity account, which includes the following subaccounts:(A) The life insurance subaccount.(B) The annuity subaccount, which includes annuity contracts issued to or in connection with a governmental benefit plan established under Section 401, 403(b), or 457 of the United States Internal Revenue Code, but otherwise excludes unallocated annuities.(C) The unallocated annuity subaccount, which excludes annuity contracts issued to or in connection with a governmental benefit plan established under Section 401, 403(b), or 457 of the United States Internal Revenue Code.(b) The association is under the immediate supervision of the commissioner and subject to the applicable provisions of the insurance laws of Indiana.As added by Acts 1978, P.L.129, SEC.3. Amended by P.L.130-1994, SEC.43; P.L.116-1994, SEC.61; P.L.193-2006, SEC.12; P.L.208-2018, SEC.15.
IN Code § 27-8-8-4 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 8. Indiana Life and Health Insurance Guaranty Association Law|27-8-8-4. Board of Directors

Sec. 4. (a) The board of directors of the association shall consist of not less than seven (7) nor more than eleven (11) member insurers serving terms established in the plan of operation. The members of the board shall be selected by member insurers subject to the approval of the commissioner.(b) Vacancies on the board shall be filled for the remaining period of the term by a majority vote of the remaining board members, subject to the approval of the commissioner.(c) To select the initial board and initially organize the association, the commissioner shall give notice to all member insurers of the time and place of the organizational meeting. At the organizational meeting, each member insurer is entitled to one (1) vote in person or by proxy. If the board is not selected within sixty (60) days after notice of the organizational meeting, the commissioner may appoint the initial members of the board.(d) In approving selections to the board, the commissioner shall consider whether all member insurers are fairly represented.(e) Members of the board may be reimbursed from the assets of the association for expenses incurred by the members as members of the board. The association shall not otherwise compensate members of the board for the members' services on the board.As added by Acts 1978, P.L.129, SEC.3. Amended by P.L.193-2006, SEC.13; P.L.208-2018, SEC.16.
IN Code § 27-8-8-5.4 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 8. Indiana Life and Health Insurance Guaranty Association Law|27-8-8-5.4. Association Obligations to Person Entitled to Coverage

Sec. 5.4. If the association has arranged or offered to discharge the association's obligations under this chapter with respect to contractual obligations owed to a person entitled to coverage under this chapter:(1) the person, and any other person claiming by, through, or under the person, is not entitled to benefits from the association in addition to or other than benefits arranged or offered by the association; and(2) the association is relieved of further obligation with respect to the contractual obligations if the person rejects, declines, or otherwise fails to accept the association's arrangement or offer.As added by P.L.193-2006, SEC.16.
IN Code § 27-8-8-5.5 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 8. Indiana Life and Health Insurance Guaranty Association Law|27-8-8-5.5. Venue; Appeal Bond

Sec. 5.5. (a) Venue in a suit against the association is in Marion County.(b) The association is not required to give an appeal bond in an appeal that relates to a cause of action arising under or with respect to this chapter.As added by P.L.193-2006, SEC.17.
IN Code § 27-8-8-6.2 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 8. Indiana Life and Health Insurance Guaranty Association Law|27-8-8-6.2. Member Protesting Assessment

Sec. 6.2. (a) A member insurer that wishes to protest all or part of an assessment made under section 6 of this chapter shall pay when due the full amount of the assessment as set forth in the notice provided by the association. The payment is available to meet association obligations during the pendency of the protest or a subsequent appeal. Payment must be accompanied by a statement in writing that the payment is made under protest and set forth a brief statement of the grounds for the protest.(b) Not more than sixty (60) days after the payment of an assessment under protest by a member insurer, the association shall notify the member insurer in writing of the association's determination with respect to the protest (unless the association notifies the member insurer that additional time is required to resolve the issues raised by the protest).(c) Not more than sixty (60) days after receipt of notice of the association's determination with respect to a protest, the protesting member insurer may appeal the determination to the commissioner.(d) Instead of making a determination with respect to a protest based on a question regarding the assessment base, the association may refer the protest to the commissioner for a determination, with or without a recommendation from the association.(e) If a protest of an assessment is upheld, the amount paid by the protesting member insurer in error or excess must be returned to the member insurer. Interest on a refund due to a protesting member insurer must be paid at the rate actually earned by the association.As added by P.L.193-2006, SEC.19.
IN Code § 27-8-8-6.5 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 8. Indiana Life and Health Insurance Guaranty Association Law|27-8-8-6.5. Association Requests for Information

Sec. 6.5. (a) The association may request information from a member insurer to aid in the exercise of the association's power under sections 6 and 6.2 of this chapter.(b) A member insurer that receives a request under subsection (a) shall promptly comply with the request.As added by P.L.193-2006, SEC.20.
IN Code § 27-8-8-8 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 8. Indiana Life and Health Insurance Guaranty Association Law|27-8-8-8. Powers and Duties of Commissioner; Appeals to Commissioner; Notice of Effect of Chapter

Sec. 8. (a) The commissioner shall do the following:(1) Upon request of the board, provide the association with a statement of the premiums in Indiana and other appropriate states for each member insurer.(2) When an impairment is declared and the amount of the impairment is determined, serve a demand on the impaired insurer to make good the impairment within a reasonable time. Notice to the impaired insurer shall constitute notice to its shareholders. The failure of the impaired insurer to promptly comply with the demand shall not excuse the association from the performance of its powers and duties under this chapter.(3) In any liquidation or rehabilitation proceeding involving a domestic insurer, be appointed as the liquidator or rehabilitator.(b) The commissioner may suspend or revoke, after notice and hearing, the certificate of authority to transact insurance in Indiana of a member insurer that fails to pay an assessment when due or fails to comply with the plan of operation. As an alternative, the commissioner may levy a forfeiture on a member insurer that fails to pay an assessment when due. A forfeiture shall not exceed five percent (5%) of the unpaid assessment per month, but no forfeiture shall be less than one hundred dollars ($100) per month.(c) A final action of the association or the board may be appealed to the commissioner by a member insurer if the appeal is taken within sixty (60) days of the member insurer's receipt of notice of the final action being appealed. A final action or order of the commissioner is subject to judicial review in a court with jurisdiction in accordance with the Indiana law that applies to the actions or orders of the commissioner.(d) The liquidator, rehabilitator, or conservator of an impaired insurer or insolvent insurer may notify all interested persons of the effect of this chapter.As added by Acts 1978, P.L.129, SEC.3. Amended by P.L.193-2006, SEC.22; P.L.208-2018, SEC.20.
IN Code § 27-8-8-11 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 8. Indiana Life and Health Insurance Guaranty Association Law|27-8-8-11. Distributions to Affiliates; Recovery

Sec. 11. (a) Subject to subsections (b) through (d), if an order for liquidation or rehabilitation of a member insurer domiciled in Indiana has been entered, the receiver appointed under the order shall have a right to recover on behalf of the member insurer, from any affiliate that controlled it, the amount of distributions, other than stock dividends paid by the member insurer on its capital stock, made at any time during the five (5) years preceding the filing of the petition for liquidation or rehabilitation.(b) A distribution described in subsection (a) is not recoverable if the member insurer shows that when the distribution was paid the distribution was lawful and reasonable, and that the member insurer did not know and could not reasonably have known that the distribution might adversely affect the ability of the member insurer to fulfill the member insurer's policy and contract obligations.(c) A person who was an affiliate that controlled the member insurer at the time a distribution described in subsection (a) was paid is liable up to the amount of distributions the person received. A person who was an affiliate that controlled the member insurer at the time the distributions were declared shall be liable up to the amount of distributions that would have been received if the distributions had been paid immediately. If two (2) or more persons are liable with respect to the same distributions, they are jointly and severally liable.(d) The maximum amount recoverable under this section shall be the amount needed in excess of all other available assets of the insolvent insurer to pay the policy and contract obligations of the insolvent insurer.(e) If a person liable under subsection (c) is insolvent, the affiliates that controlled the person at the time the distribution was paid shall be jointly and severally liable for any resulting deficiency in the amount recovered from the insolvent affiliate.As added by Acts 1978, P.L.129, SEC.3. Amended by P.L.193-2006, SEC.25; P.L.208-2018, SEC.23.
IN Code § 27-8-8-12 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 8. Indiana Life and Health Insurance Guaranty Association Law|27-8-8-12. Examination and Regulation of Association; Financial Report

Sec. 12. (a) The association is subject to examination and regulation by the commissioner. The association shall annually submit to the commissioner, not later than one hundred twenty (120) days after the end of the association's fiscal year, a financial report in a form approved by the commissioner and a report of its activities during the preceding fiscal year.(b) Upon the request of a member insurer, the association shall provide to the member insurer a copy of the reports described in subsection (a).As added by Acts 1978, P.L.129, SEC.3. Amended by P.L.193-2006, SEC.26.
IN Code § 27-8-8-13 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 8. Indiana Life and Health Insurance Guaranty Association Law|27-8-8-13. Association Tax and Fee Exemption

Sec. 13. The association is exempt from payment of all fees and all taxes levied by Indiana or any of its political subdivisions, except taxes levied on real property.As added by Acts 1978, P.L.129, SEC.3.
IN Code § 27-8-8-14 (2021)
2021 Indiana Code|Title 27. Insurance|Article 8. Life, Accident, and Health|Chapter 8. Indiana Life and Health Insurance Guaranty Association Law|27-8-8-14. Liability for Performance Under Chapter

Sec. 14. (a) A member insurer and the member insurer's agents and employees, the association and the association's agents and employees, members of the board and representatives of the members of the board, and the commissioner and the commissioner's representatives are not liable for and no cause of action of any nature arises or may be brought against them for or in connection with an action or omission by any of them in the exercise and performance of their rights, powers, and duties under this chapter.(b) Immunity under this section extends to:(1) the participation in an organization of one (1) or more other state associations of similar purpose; and(2) an organization described in subdivision (1) and an agent or employee of the organization.As added by Acts 1978, P.L.129, SEC.3. Amended by P.L.193-2006, SEC.27.