reglab/housing_qa huggingface dataset:
IN Code § 27-11-9-1 (2021)
2021 Indiana Code|Title 27. Insurance|Article 11. Fraternal Benefit Societies|Chapter 9. Miscellaneous Provisions|27-11-9-1. Appointment of Attorney for Service of Process; Method of Serving Process

Sec. 1. (a) Every society authorized to do business in Indiana shall appoint in writing an individual resident of Indiana, a corporate resident of Indiana, or an authorized Indiana insurer to be its true and lawful attorney upon whom all lawful process in any action or proceeding against it shall be served and shall agree in such writing that:(1) any lawful process against it that is served on the attorney shall be of the same legal force and validity as if served upon the society; and(2) the authority shall continue in force so long as any liability remains outstanding in this state.Copies of the appointment, certified by the commissioner, shall be considered sufficient evidence thereof and shall be admitted in evidence with the same force and effect as the original might be admitted.(b) Service shall only be made upon the attorney or, if absent, upon the person in charge of the attorney's office. It shall be made in duplicate and shall constitute sufficient service upon the society. When legal process against a society is served upon the attorney, the attorney shall immediately forward one (1) of the duplicate copies by registered mail, prepaid, directed to the secretary or corresponding officer. No service shall require a society to file its answer, pleading, or defense in less than thirty (30) days from the date of mailing the copy of the service to a society. Legal process shall not be served upon a society except in the manner provided in this section.As added by P.L.262-1985, SEC.1. Amended by P.L.130-1994, SEC.48; P.L.116-1994, SEC.71; P.L.268-1999, SEC.21.
IN Code § 27-11-9-2 (2021)
2021 Indiana Code|Title 27. Insurance|Article 11. Fraternal Benefit Societies|Chapter 9. Miscellaneous Provisions|27-11-9-2. Judicial Review of Decisions and Findings of Commissioner

Sec. 2. All decisions and findings of the commissioner made under this article shall be subject to review by proper proceedings in any court of competent jurisdiction in this state.As added by P.L.262-1985, SEC.1.
IN Code § 27-11-9-3 (2021)
2021 Indiana Code|Title 27. Insurance|Article 11. Fraternal Benefit Societies|Chapter 9. Miscellaneous Provisions|27-11-9-3. Violations

Sec. 3. (a) A person who knowingly makes any false or fraudulent statement or representation in or with reference to any application for membership or for the purpose of obtaining money from or benefits in any society transacting business under this chapter, commits a Class A misdemeanor.(b) A person who solicits membership for any fraternal beneficiary association not licensed to do business in Indiana, or for any society not authorized to do business in Indiana, commits a Class C infraction.(c) Any person who knowingly violates, neglects, or refuses to comply with a provision of this article for which a penalty is not otherwise prescribed commits a Class B misdemeanor.As added by P.L.262-1985, SEC.1.
IN Code § 27-11-9-4 (2021)
2021 Indiana Code|Title 27. Insurance|Article 11. Fraternal Benefit Societies|Chapter 9. Miscellaneous Provisions|27-11-9-4. Construction of Article

Sec. 4. (a) Nothing contained in this article shall be so construed as to affect or apply to:(1) grand or subordinate lodges of societies, orders, or associations doing business in Indiana that provide benefits exclusively through local or subordinate lodges;(2) orders, societies, or associations that admit to membership only persons engaged in one (1) or more crafts or hazardous occupations, in the same or similar lines of business, insuring only their own members and their families, and the ladies' societies or ladies' auxiliaries to these orders, societies, or associations;(3) domestic societies that limit their membership to employees of a particular city or town, designated firm, business house, or corporation that provide for a death benefit of not more than four hundred dollars ($400) or disability benefits of not more than three hundred fifty dollars ($350) to any person in any one (1) year, or both; or(4) domestic societies or associations of a purely religious, charitable, or benevolent description that provide for a death benefit of not more than four hundred dollars ($400) or for disability benefits of not more than three hundred fifty dollars ($350) to any one (1) person in any one (1) year, or both.(b) Any society or association described in subsection (a)(3) or (a)(4) that provides for death or disability benefits for which benefit certificates are issued, and any society or association included in subsection (a)(4) that has more than one thousand (1,000) members, shall not be exempted from this article but shall comply with all requirements of this article.(c) A society that under this section is exempt from the requirements of this article, except any society described in subsection (a)(2), shall not give or allow or promise to give or allow to any person any compensation for procuring new members.(d) Every society that provides for benefits in case of death or disability resulting solely from accident and that does not obligate itself to pay natural death or sick benefits shall have all of the privileges and be subject to all the applicable provisions and rules of this article, except that the provisions relating to medical examination, valuations of benefit certificates, and incontestability shall not apply to the society.(e) The commissioner may require from any society or association, by examination or otherwise, such information as will enable the commissioner to determine whether the society or association is exempt from this article.(f) Societies exempted under this section shall also be exempt from all other provisions of this title.As added by P.L.262-1985, SEC.1.
IN Code § 27-13-1-1 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-1. Applicability of Definitions

Sec. 1. The definitions in this chapter apply throughout this article.As added by P.L.26-1994, SEC.25.
IN Code § 27-13-1-2 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-2. "Admitted Asset"

Sec. 2. "Admitted asset" means an asset that may be included in a health maintenance organization's total assets for the purpose of computing the net worth of the health maintenance organization.As added by P.L.26-1994, SEC.25.
IN Code § 27-13-1-4 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-4. "Basic Health Care Services"

Sec. 4. (a) "Basic health care services" means the following medically necessary services:(1) Preventive care.(2) Inpatient and outpatient hospital and physician care.(3) Diagnostic laboratory care.(4) Diagnostic and therapeutic radiological services.(5) Emergency care.(b) The term does not include the following:(1) Mental health services.(2) Services for alcohol and drug abuse.(3) Dental services.(4) Vision services.(5) Long term rehabilitation treatment.As added by P.L.26-1994, SEC.25.
IN Code § 27-13-1-5 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-5. "Capitated Basis"

Sec. 5. "Capitated basis" means fixed per member per month payment or percentage of premium payment under which the provider assumes the full risk for the cost of contracted services without regard to type, value, or frequency of services provided. For purposes of this definition, capitated basis includes the cost associated with operating staff model facilities.As added by P.L.26-1994, SEC.25.
IN Code § 27-13-1-6 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-6. "Carrier"

Sec. 6. "Carrier" refers to any of the following:(1) A health maintenance organization.(2) An insurer licensed in Indiana to write Class 1(B) or Class 2(A) lines of insurance.(3) Any other entity responsible for the payment of benefits or provision of services under a group contract.As added by P.L.26-1994, SEC.25.
IN Code § 27-13-1-7 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-7. "Commissioner"

Sec. 7. "Commissioner" refers to the insurance commissioner appointed under IC 27-1-1-2.As added by P.L.26-1994, SEC.25.
IN Code § 27-13-1-8 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-8. "Copayment"

Sec. 8. "Copayment" means an amount, or a percentage of the charge, that an enrollee must pay to receive a specific service that is not fully prepaid.As added by P.L.26-1994, SEC.25.
IN Code § 27-13-1-9 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-9. "Coverage"

Sec. 9. "Coverage" means the health care services to which a person is contractually entitled, either directly or indirectly, under a contract with a carrier.As added by P.L.26-1994, SEC.25.
IN Code § 27-13-1-10 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-10. "Covered by a Health Maintenance Organization"

Sec. 10. "Covered by a health maintenance organization" means that a person is contractually entitled, either directly or indirectly, to health care services from the health maintenance organization.As added by P.L.26-1994, SEC.25.
IN Code § 27-13-1-10.5 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-10.5. "Credentialing"

Sec. 10.5. "Credentialing" means a process through which a health maintenance organization makes a determination:(1) based on criteria established by the health maintenance organization; and(2) concerning whether a provider may serve as a participating provider.As added by P.L.26-2005, SEC.3.
IN Code § 27-13-1-11 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-11. "Deductible"

Sec. 11. "Deductible" means the amount that an enrollee is responsible to pay out-of-pocket before the health maintenance organization begins to pay the costs associated with the health care services.As added by P.L.26-1994, SEC.25.
IN Code § 27-13-1-11.3 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-11.3. "Department"

Sec. 11.3. "Department" refers to the department of insurance.As added by P.L.69-1998, SEC.1.
IN Code § 27-13-1-11.5 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-11.5. "Dialysis Facility"

Sec. 11.5. "Dialysis facility" means an outpatient facility in Indiana at which a dialysis treatment provider provides dialysis treatment.As added by P.L.111-2008, SEC.5.
IN Code § 27-13-1-11.7 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-11.7. "Emergency"

Sec. 11.7. "Emergency" means a medical condition that arises suddenly and unexpectedly and manifests itself by acute symptoms of such severity, including severe pain, that the absence of immediate medical attention could reasonably be expected by a prudent lay person who possesses an average knowledge of health and medicine to:(1) place an individual's health in serious jeopardy;(2) result in serious impairment to the individual's bodily functions; or(3) result in serious dysfunction of a bodily organ or part of the individual.As added by P.L.69-1998, SEC.2.
IN Code § 27-13-1-12 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-12. "Enrollee"

Sec. 12. "Enrollee" means a subscriber or a subscriber's dependent who is covered by a health maintenance organization.As added by P.L.26-1994, SEC.25. Amended by P.L.191-1997, SEC.1.
IN Code § 27-13-1-13 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-13. "Evidence of Coverage"

Sec. 13. "Evidence of coverage" means a statement of the essential features and services of the coverage provided by a health maintenance organization.As added by P.L.26-1994, SEC.25.
IN Code § 27-13-1-13.5 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-13.5. "Experimental Treatment"

Sec. 13.5. "Experimental treatment" means medical technology or a new application of existing medical technology, including medical procedures, drugs, and devices for treating a medical condition, illness, or diagnosis that:(1) is not generally accepted by informed health care professionals in the United States as effective; or(2) has not been proven by scientific testing or evidence to be effective;in treating the medical condition, illness, or diagnosis for which its use is proposed.As added by P.L.69-1998, SEC.3.
IN Code § 27-13-1-14 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-14. "Extension of Benefits"

Sec. 14. "Extension of benefits" means the continuation of coverage under a particular benefit provided under a contract following the termination of an enrollee with a total disability on the date of termination.As added by P.L.26-1994, SEC.25. Amended by P.L.99-2007, SEC.194.
IN Code § 27-13-1-15 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-15. "Grievance"

Sec. 15. "Grievance" means a written complaint submitted in accordance with the formal grievance procedure of a health maintenance organization by or on behalf of:(1) the enrollee or subscriber regarding any aspect of the health maintenance organization relative to the enrollee or subscriber; or(2) an individual who would be an enrollee or a subscriber under an individual contract or a group contract regarding the health maintenance organization's decision to rescind the individual contract or group contract.As added by P.L.26-1994, SEC.25. Amended by P.L.160-2011, SEC.26.
IN Code § 27-13-1-16 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-16. "Group Contract"

Sec. 16. "Group contract" means a contract for health care services which by the contract's terms limits eligibility to members of a specified group. A group contract may include coverage for dependents.As added by P.L.26-1994, SEC.25.
IN Code § 27-13-1-17 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-17. "Group Contract Holder"

Sec. 17. "Group contract holder" means the person to whom a group contract has been issued.As added by P.L.26-1994, SEC.25.
IN Code § 27-13-1-18 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-18. "Health Care Services"

Sec. 18. (a) "Health care services" means:(1) any services provided by individuals licensed under IC 25-5.1, IC 25-10, IC 25-13, IC 25-14, IC 25-22.5, IC 25-23, IC 25-24, IC 25-26, IC 25-27, IC 25-29, IC 25-33, or IC 25-35.6;(2) services provided as a result of hospitalization;(3) services incidental to the furnishing of services described in subdivision (1) or (2); or(4) any other services or goods furnished for the purpose of preventing, alleviating, curing, or healing human illness, physical disability, or injury.(b) The term does not include any service provided by, from, or through a licensed health care facility in connection with any life care, founder's fee, or other type of prepaid fee contract for residency and health care in a retirement home, community, or facility for elderly persons.As added by P.L.26-1994, SEC.25. Amended by P.L.133-2011, SEC.2.
IN Code § 27-13-1-19 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-19. "Health Maintenance Organization"

Sec. 19. "Health maintenance organization" means a person that undertakes to provide or arrange for the delivery of health care services to enrollees on a prepaid basis, except for enrollee responsibility for copayments or deductibles.As added by P.L.26-1994, SEC.25.
IN Code § 27-13-1-20 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-20. "In-Plan Covered Services"

Sec. 20. "In-plan covered services" means the following:(1) Covered health care services that are obtained from a provider who:(A) is employed by;(B) is under contract with;(C) provides health care services to an enrollee referred by; or(D) is otherwise affiliated with;the health maintenance organization.(2) Emergency services.As added by P.L.26-1994, SEC.25.
IN Code § 27-13-1-21 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-21. "Individual Contract"

Sec. 21. (a) "Individual contract" means a contract for health care services that:(1) is issued to; and(2) covers;an individual.(b) An individual contract may include coverage for a dependent of the subscriber.As added by P.L.26-1994, SEC.25.
IN Code § 27-13-1-21.3 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-21.3. "Insurance Producer"

Sec. 21.3. "Insurance producer" means a person who is a licensed insurance producer under IC 27-1-15.6 and who:(1) solicits, negotiates, effects, procures, delivers, renews, or continues a policy or contract for membership in a health maintenance organization or a prepaid limited health service organization;(2) takes or transmits a membership fee or premium for the policy or contract other than for the insurance producer; or(3) causes the insurance producer to be held out to the public, through advertising or otherwise, as a producer for a health maintenance organization or a prepaid limited health service organization.As added by P.L.97-2004, SEC.102.
IN Code § 27-13-1-21.5 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-21.5. "Managed Hospital Payment Basis"

Sec. 21.5. "Managed hospital payment basis" means agreements in which the financial risk is primarily related to the degree of utilization rather than to cost of services.As added by P.L.255-1995, SEC.13.
IN Code § 27-13-1-22 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-22. "Net Worth"

Sec. 22. (a) "Net worth" means the excess of total admitted assets over total liabilities.(b) For the purposes of subsection (a), "liabilities" does not include fully subordinated debt.As added by P.L.26-1994, SEC.25.
IN Code § 27-13-1-23 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-23. "Out-of-Plan Covered Services"

Sec. 23. (a) "Out-of-plan covered services" means nonemergency, self-referred covered health care services that:(1) are obtained from a provider who is:(A) not otherwise employed by;(B) not under contract with; and(C) not otherwise affiliated with;the health maintenance organization; or(2) are obtained from a participating provider without a referral.(b) The term does not include uncovered services.As added by P.L.26-1994, SEC.25.
IN Code § 27-13-1-24 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-24. "Participating Provider"

Sec. 24. "Participating provider" means a provider who, under an express or implied contract with:(1) the health maintenance organization; or(2) a contractor of the health maintenance organization or any subcontractor of a contractor of the health maintenance organization;has agreed to provide health care services to enrollees with an expectation of directly or indirectly receiving payment, other than copayment or deductible, from the health maintenance organization.As added by P.L.26-1994, SEC.25. Amended by P.L.195-1996, SEC.1.
IN Code § 27-13-1-25 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-25. "Person"

Sec. 25. "Person" includes the following:(1) An individual.(2) A partnership.(3) An association.(4) A trust.(5) A limited liability company.(6) A corporation.As added by P.L.26-1994, SEC.25.
IN Code § 27-13-1-26 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-26. "Point-of-Service Product"

Sec. 26. "Point-of-service product" means a product that covers both:(1) in-plan covered services; and(2) out-of-plan covered services.As added by P.L.26-1994, SEC.25.
IN Code § 27-13-1-27 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-27. "Limited Service Health Maintenance Organization"

Sec. 27. "Limited service health maintenance organization" has the meaning set forth in IC 27-13-34-4.As added by P.L.26-1994, SEC.25. Amended by P.L.2-1998, SEC.70.
IN Code § 27-13-1-27.5 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-27.5. "Primary Care Provider"

Sec. 27.5. "Primary care provider" means a provider under contract with a health maintenance organization who is designated by the health maintenance organization to coordinate, supervise, or provide ongoing care to an enrollee.As added by P.L.69-1998, SEC.4.
IN Code § 27-13-1-28 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-28. "Provider"

Sec. 28. (a) "Provider" means a physician, a hospital, or any other person licensed or authorized to furnish health care services.(b) The term includes an entity that:(1) is owned in whole or in part by one (1) or more physicians, hospitals, or other persons licensed or authorized to furnish health care services; and(2) was established for purposes of furnishing health care services through:(A) contracts; or(B) employment agreements;with one (1) or more physicians, hospitals, or other persons licensed or authorized to furnish health care services.As added by P.L.26-1994, SEC.25. Amended by P.L.195-1996, SEC.2.
IN Code § 27-13-1-28.5 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-28.5. "Quality Assurance"

Sec. 28.5. "Quality assurance" means the ongoing evaluation of the quality of health care services provided to enrollees.As added by P.L.69-1998, SEC.5.
IN Code § 27-13-1-29 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-29. "Receivership"

Sec. 29. "Receivership" means that the health maintenance organization has been placed in receivership under an order of rehabilitation or liquidation by a court with jurisdiction.As added by P.L.26-1994, SEC.25.
IN Code § 27-13-1-30 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-30. "Replacement Coverage"

Sec. 30. "Replacement coverage" means the coverage provided to a person whose last preceding carrier has ceased providing coverage to that person.As added by P.L.26-1994, SEC.25.
IN Code § 27-13-1-31 (2021)
2021 Indiana Code|Title 27. Insurance|Article 13. Health Maintenance Organizations|Chapter 1. Definitions|27-13-1-31. "Service Area"

Sec. 31. "Service area" means the geographic area within which a health maintenance organization licensed under this article provides or arranges for the delivery of health care services to enrollees.As added by P.L.26-1994, SEC.25.