reglab/statecodes huggingface dataset:
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 5.5. State Excise Police, Gaming Agent, Gaming Control Officer, and Conservation Enforcement Officers' Retirement Plan › 5-10-5.5-18. Termination of Service Before Accumulating 15 Years of Creditable Service

Sec. 18. Any participant who terminates his service as an officer before accumulating fifteen (15) years of creditable service may, in the manner and under the conditions provided in the public employees' retirement law, again become a member of the public employees' retirement fund. Upon payment of contributions and interest required by the board, the withdrawing participant shall be entitled to transfer creditable service standing to his credit under this chapter to his credit under the public employees' retirement law.
Formerly: Acts 1972, P.L.1, SEC.1.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 5.5. State Excise Police, Gaming Agent, Gaming Control Officer, and Conservation Enforcement Officers' Retirement Plan › 5-10-5.5-19. Public Employees Retirement Fund Law; Applicability

Sec. 19. The retirement plan created by this chapter shall, in all respects to the extent applicable and except as otherwise specifically enumerated in this chapter, be governed by the law creating the public employees' retirement fund, and for that purpose, the provisions of IC 5-10.3 are hereby incorporated into this chapter by reference.
Formerly: Acts 1972, P.L.1, SEC.1. As amended by P.L.25-1986, SEC.28.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 5.5. State Excise Police, Gaming Agent, Gaming Control Officer, and Conservation Enforcement Officers' Retirement Plan › 5-10-5.5-20. Old Age and Survivors Benefits; Supplemental Retirement Benefits; Rights and Liabilities Not Affected

Sec. 20. Participation in the retirement plan created by this chapter shall not affect the participant's rights and liabilities under the provisions of IC 5-10.1, IC 5-10.2, and IC 5-10.3.
Formerly: Acts 1972, P.L.1, SEC.1. As amended by P.L.25-1986, SEC.29.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 5.5. State Excise Police, Gaming Agent, Gaming Control Officer, and Conservation Enforcement Officers' Retirement Plan › 5-10-5.5-21. Increase in Monthly Benefits

Sec. 21. (a) Except as provided in subsection (d), the monthly benefit payable after June 30, 1987, to a participant, or a survivor or beneficiary of a participant, who retired or was disabled before July 2, 1986, shall be increased by an amount determined by the board. The board shall determine the amount for each participant, survivor, and beneficiary so that the monthly benefit is increased by one-half (1/2) the amount that the monthly benefit would have been increased if the participant had been a member of the public employees' retirement fund on the date of retirement or disability.
(b) Except as provided in subsection (d), the monthly benefit payable after June 30, 1988, to a participant, or a survivor or beneficiary of a participant, who retired or was disabled before July 2, 1987, shall be increased by an amount determined by the board. The board shall determine the amount for each participant, survivor, and beneficiary so that the monthly benefit is increased to the amount that the monthly benefit would have equaled if the participant had been a member of the public employees' retirement fund on the date of retirement or disability.
(c) Except as provided in subsection (d), the monthly benefit payable after June 30, 1989, to participants, survivors, and beneficiaries shall be increased by the same percentages and under the same conditions as monthly benefits are increased under IC 5-10.2-5 for members of the public employees' retirement fund and their survivors and beneficiaries.
(d) This section is applicable only if the general assembly provides sufficient funding for the increased cost of the benefits provided by this section.
As added by P.L.56-1987, SEC.6. Amended by P.L.4-1990, SEC.4.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 5.5. State Excise Police, Gaming Agent, Gaming Control Officer, and Conservation Enforcement Officers' Retirement Plan › 5-10-5.5-23. Voluntary Benefit Deductions

Sec. 23. (a) Notwithstanding any other provision of this chapter, a participant, survivor, or beneficiary receiving a monthly benefit under this chapter may, after June 30, 2017, authorize the board to make a deduction from the monthly benefit.
(b) An authorization for a deduction from a monthly benefit paid under this chapter is valid only if all of the following requirements are met:
(1) The authorization is:
(A) in writing;
(B) signed personally by the individual receiving the monthly benefit;
(C) revocable at any time by the individual receiving the monthly benefit upon written notice to the board; and
(D) agreed to in writing by the board.
(2) An executed copy of the authorization is delivered to the board not later than ten (10) days after its execution.
(3) The deduction is made for a purpose described in subsection (c).
(c) A deduction under this section may be made for the purpose of paying any of the following:
(1) A premium on a policy of insurance for life, medical, surgical, hospitalization, dental, vision, long term care, or Medicare supplement coverage offered to retired participants by the participant's former employer, the state, or the board.
(2) Dues payable by the individual receiving the benefit to a labor organization of which the individual is a member.
As added by P.L.41-2017, SEC.1. Amended by P.L.179-2018, SEC.3.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 6. Vacations and Other Benefits for Certain Public Employees › 5-10-6-1. Vacation Pay and Paid Holidays; Sick Leave

Sec. 1. (a) Retroactive to January 1, 1969, employees of the state who are compensated for their services on an hourly basis may be granted a vacation with pay and paid holidays by executive order of the governor.
(b) Employees of the political subdivisions of the state may be granted a vacation with pay, sick leave, paid holidays, and other similar benefits by ordinance of the legislative body of a county, city, town, township, or controlling board of a municipally owned utility, board of directors or regents of a cemetery, or board of trustees of any library district.
(c) Payment of vacation benefits so granted may be made in advance of any vacation taken by such an employee.
Formerly: Acts 1961, c.237, s.1; Acts 1963, c.355, s.1; Acts 1965, c.166, s.1; Acts 1969, c.89, s.1; Acts 1975, P.L.43, SEC.1. As amended by P.L.8-1987, SEC.8; P.L.8-1989, SEC.18.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 6. Vacations and Other Benefits for Certain Public Employees › 5-10-6-2. Paid Breaks for Expressing Breast Milk

Sec. 2. (a) The state and political subdivisions of the state shall provide reasonable paid break time each day to an employee who needs to express breast milk for the employee's infant child. The break time must, if possible, run concurrently with any break time already provided to the employee. The state and political subdivisions are not required to provide break time under this section if providing break time would unduly disrupt the operations of the state or political subdivisions.
(b) The state and political subdivisions of the state shall make reasonable efforts to provide a room or other location, other than a toilet stall, in close proximity to the work area, where an employee described in subsection (a) can express the employee's breast milk in privacy. The state and political subdivisions shall make reasonable efforts to provide a refrigerator or other cold storage space for keeping milk that has been expressed. The state or a political subdivision is not liable if the state or political subdivision makes a reasonable effort to comply with this subsection.
As added by P.L.13-2008, SEC.2.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 7. Employee Interchange Programs › 5-10-7-1. Intergovernmental Cooperation

Sec. 1. The State of Indiana recognizes that intergovernmental cooperation is an essential factor in resolving problems affecting this state and that the interchange of personnel between and among governmental agencies at the same or different levels of government is a significant factor in achieving such cooperation.
Formerly: Acts 1969, c.384, s.1.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 7. Employee Interchange Programs › 5-10-7-2. Definitions

Sec. 2. For the purposes of this chapter:
(a) "Sending agency" means any department or agency of the federal government or a state or local government which sends any employee thereof to another government agency under this chapter.
(b) "Receiving agency" means any department or agency of the federal government or a state or local government which receives an employee of another government agency under this chapter.
Formerly: Acts 1969, c.384, s.2. As amended by P.L.25-1986, SEC.30.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 7. Employee Interchange Programs › 5-10-7-3. Participating Entities; Periods of Individual Assignment

Sec. 3. (a) Any department, agency, or instrumentality of the state, county, city, municipality, land-grant college, or college or university operated by the state or any local government may participate in a program of interchange of employees with departments, agencies, or instrumentalities of the federal government, another state or locality, or other agencies, municipalities, or instrumentalities of this state as a sending and/or receiving agency.
(b) The period of individual assignment or detail under an interchange program shall not exceed two (2) years. However, the sending agency may extend the period of assignment for not more than two (2) additional years. Details relating to any matter covered in this chapter may be the subject of an agreement between the sending and receiving agencies.
Formerly: Acts 1969, c.384, s.3. As amended by P.L.25-1986, SEC.31.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 7. Employee Interchange Programs › 5-10-7-4. Status of Employees

Sec. 4. (a) Employees of a sending agency participating in an exchange of personnel as authorized in section 3 of this chapter may be considered during such participation to be:
(1) on detail to regular work assignments of the sending agency; or
(2) in a status of leave of absence from their positions in the sending agency.
(b) Employees who are on detail shall be entitled to the same salary and benefits to which they would otherwise be entitled and shall remain employees of the sending agency for all other purposes except that the supervision of their duties during the period of detail may be governed by agreement between the sending agency and the receiving agency.
(c) Employees who are in a leave of absence status as provided in this section shall be carried on leave without pay; provided, that they may be granted annual leave or other time off with pay to the extent authorized by law applicable to the sending agency. Except as otherwise provided in this chapter, employees who are in a leave of absence status shall have the same rights, benefits, and obligations as employees generally who are in such leave status but notwithstanding any other provision of law such employees may be entitled to credit the period of such assignment toward benefits as employees of the sending agency.
(d) Any employee who participates in an exchange under the terms of this section who suffers disability or death as a result of personal injury arising out of and in the course of an exchange or sustained in performance of duties in connection therewith shall be treated for the purposes of the sending agency's employee compensation program as an employee, as defined in such statute, who has sustained such injury in the performance of such duty, but shall not receive benefits under that statute for any period for which he is entitled to and elects to receive similar benefits under the receiving agency's employee compensation program.
Formerly: Acts 1969, c.384, s.4. As amended by P.L.25-1986, SEC.32.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 7. Employee Interchange Programs › 5-10-7-5. Sending Agencies; Travel Expenses; per Diem Allowance

Sec. 5. A sending agency in this state may, in accordance with the travel regulations of such agency, pay the travel expenses of employees assigned to a receiving agency on either a detail or leave basis, but shall not pay the travel expenses of such employees incurred in connection with their work assignments at the receiving agency. If the assignment or detail will be for a period of time exceeding eight (8) months, travel expenses may include expenses of transportation of immediate family, household goods and personal effects to and from the location of the receiving agency. If the period of assignment is less than eight (8) months, the sending agency may pay a per diem allowance to the employee on assignment or detail.
Formerly: Acts 1969, c.384, s.5.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 7. Employee Interchange Programs › 5-10-7-6. Receiving Agencies; Compensation; Status of Employees

Sec. 6. (a) When any unit of government of this state acts as a receiving agency, employees of the sending agency who are assigned under authority of this chapter may:
(1) be given appointments in the receiving agency covering the periods of such assignments, with compensation to be paid from receiving agency funds or without compensation; or
(2) be considered to be on detail to the receiving agency.
(b) Appointments of persons so assigned may be made without regard to the statutes or rules governing the selection of employees of the receiving agency.
(c) Employees who are detailed to the receiving agency shall not by virtue of such detail be considered to be employees thereof, except as provided in subsection (d), nor shall they be paid a salary or wage by the receiving agency during the period of their detail, except in special cases upon written permission by the state board of accounts such employee or employees shall be paid fully by special appropriation approved by the county council and the department of local government finance. The supervision of the duties of such employees during the period of detail may be governed by agreement between the sending agency and the receiving agency.
(d) Any employee of a sending agency assigned in this state who suffers disability or death as a result of personal injury arising out of and in the course of such assignment or sustained in the performance of duties in connection therewith shall be treated for the purpose of receiving agency's employee compensation program as an employee, as defined in such statute, who has sustained such injury in the performance of such duty, but shall not receive benefits under that statute for any period for which he elects to receive similar benefits as an employee under the sending agency's employee compensation program.
Formerly: Acts 1969, c.384, s.6. As amended by P.L.25-1986, SEC.33; P.L.90-2002, SEC.15.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 7. Employee Interchange Programs › 5-10-7-7. Receiving Agencies; Travel Expenses

Sec. 7. A receiving agency in this state may, in accordance with the travel rules of such agency, pay travel expenses of persons assigned thereto under this chapter during the period of such assignments on the same basis as if they were regular employees of the receiving agency.
Formerly: Acts 1969, c.384, s.7. As amended by P.L.25-1986, SEC.34.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 7. Employee Interchange Programs › 5-10-7-8. Department of Administration; Implementation of Chapter

Sec. 8. The department of administration shall explore means of implementing this chapter and assist departments, agencies, and instrumentalities of the state and its political subdivisions in participating in employee interchange programs.
Formerly: Acts 1969, c.384, s.8. As amended by P.L.25-1986, SEC.35.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 8. Group Insurance for Public Employees › 5-10-8-0.1. Application of Certain Amendments to Chapter

Sec. 0.1. The following amendments to this chapter apply as follows:
(1) The amendments made to section 2 of this chapter (before its repeal) and section 3 of this chapter (before its repeal) by P.L.46-1985 do not affect contracts:
(A) entered into before; and
(B) in effect on;
July 1, 1986.
(2) The addition of section 7.2 of this chapter by P.L.35-1992 applies to a contract between the state and a prepaid health care delivery plan that is entered into or renewed after June 30, 1992.
(3) The amendments made to section 7.2 of this chapter by P.L.170-1999 apply to a self-insurance program or a contract between the state and a health maintenance organization established, entered into, or renewed after June 30, 1999.
(4) The addition of section 7.5 of this chapter by P.L.170-1999 applies to a self-insurance program or a contract between the state and a health maintenance organization established, entered into, or renewed after June 30, 1999.
(5) The addition of section 13 of this chapter by P.L.251-2003 applies to an employee health benefit plan that is entered into, issued, delivered, amended, or renewed after June 30, 2003.
(6) The amendments made to section 7.7 of this chapter by P.L.196-2005 apply to a self-insurance program or a contract with a prepaid health care delivery plan that is established, entered into, delivered, amended, or renewed after June 30, 2005.
(7) The addition of section 14 of this chapter by P.L.109-2008 applies to a state employee health plan that is established, entered into, delivered, amended, or renewed after June 30, 2008.
As added by P.L.220-2011, SEC.65.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 8. Group Insurance for Public Employees › 5-10-8-0.3. Use of Certain Accrued Benefits by State Employees

Sec. 0.3. The benefits accrued by an employee under 31 IAC 1-9-5 (before its repeal) or 31 IAC 2-11-6 (before its repeal) that are unused after June 30, 1989, may be used by the employee after June 30, 1989, in accordance with the rules required by section 7(d) of this chapter, as amended by P.L.27-1988. The rules required by section 7(d) of this chapter, as amended by P.L.27-1988, must provide that an employee who:
(1) is subject to section 7(d) of this chapter; and
(2) has less than five (5) years of continuous full-time employment after June 30, 1989;
will be credited with special sick leave on a pro rata basis after June 30, 1989.
As added by P.L.220-2011, SEC.66.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 8. Group Insurance for Public Employees › 5-10-8-0.4. Legalization of Certain Payments of Deductible Portion of Group Health Insurance

Sec. 0.4. Payment of the deductible portion of group health insurance by a public employer before July 1, 1989, is legalized.
As added by P.L.220-2011, SEC.67.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 8. Group Insurance for Public Employees › 5-10-8-2. Repealed

[Pre-Local Government Recodification Citations: 4-15-5-2; 19-10-4-2.]
As added by Acts 1980, P.L.8, SEC.41. Amended by P.L.28-1983, SEC.49. Repealed by P.L.24-1985, SEC.25(c).
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 8. Group Insurance for Public Employees › 5-10-8-2.1. Repealed

As added by P.L.24-1985, SEC.8. Amended by P.L.39-1986, SEC.2; P.L.43-1988, SEC.1; P.L.57-1989, SEC.1; P.L.58-1989, SEC.1; P.L.39-1990, SEC.2; P.L.41-1990, SEC.1. Repealed by P.L.1-1991, SEC.32.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 8. Group Insurance for Public Employees › 5-10-8-2.7. Insurance of Rostered Volunteers

Sec. 2.7. (a) As used in this section, "rostered volunteer" means a volunteer:
(1) whose name has been entered on a roster of volunteers for a volunteer program operated by a local unit; and
(2) who has been approved by the proper authorities of the local unit.
The term does not include a volunteer firefighter (as defined in IC 36-8-12-2) or an inmate assigned to a correctional facility operated by the state or a local unit.
(b) As used in this section, "local unit" does not include a school corporation.
(c) The fiscal body of a local unit may elect to provide insurance for rostered volunteers for life, accident, or sickness coverage.
As added by P.L.51-1993, SEC.1.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 8. Group Insurance for Public Employees › 5-10-8-3. Repealed

[Pre-Local Government Recodification Citations: 4-15-5-3; 19-10-4-3.]
As added by Acts 1980, P.L.8, SEC.41. Repealed by P.L.24-1985, SEC.25(c).
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 8. Group Insurance for Public Employees › 5-10-8-3.1. Employees Withholding From Salaries or Wages; Retired Employees; Assignment of Part of Retirement Benefit

Sec. 3.1. (a) A public employer that contracts for a group insurance plan or establishes a self-insurance plan for its employees may withhold or cause to be withheld from participating employees' salaries or wages whatever part of the cost of the plan the employees are required to pay. The chief fiscal officer responsible for issuing paychecks or warrants to the employees shall make deductions from the individual employees' paychecks or warrants to pay the premiums for the insurance. Except as provided by section 7(d) of this chapter, the fiscal officer shall require written authorization from state employees, and may require written authorization from local employees, to make the deductions. One (1) authorization signed by an employee is sufficient authorization for the fiscal officer to continue to make deductions for this purpose until revoked in writing by the employee.
(b) A public employer that contracts for a group insurance plan or establishes a self-insurance plan for its retired employees may require that the retired employees pay any part of the cost of the plan that is not paid by the public employer. A retired employee may assign part or all of the retired employee's benefit payable under IC 5-10.3-8, IC 5-10.4-5, or any other retirement program for this required payment.
As added by P.L.24-1985, SEC.10. Amended by P.L.27-1988, SEC.3; P.L.2-2006, SEC.15.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 8. Group Insurance for Public Employees › 5-10-8-4. Discrimination as to Form of Insurance Between Certain Employees; Exception

Sec. 4. Self-insurance plans for state employees involving income disability insurance, principal amount accident insurance, or both, must not, as to the form or forms of the insurance, discriminate between the employees of any department, commission, board, division, facility, institution, authority, or other establishment, except that the contributions for the insurance and benefits from the insurance may be equitably graduated in relation to:
(1) the employment compensation schedule; and
(2) if actuarially justified, the employee's age.
[Pre-Local Government Recodification Citation: 4-15-5-4.]
As added by Acts 1980, P.L.8, SEC.41. Amended by P.L.24-1985, SEC.11; P.L.27-1988, SEC.4.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 8. Group Insurance for Public Employees › 5-10-8-5. Establishment of Common and Unified Plan of Group Insurance

Sec. 5. Two (2) or more local public employers may establish a common and unified plan of group insurance for their employees, including retired local employees. The plan shall be effected through a trust, agency, or any other legal arrangement with careful accounting and fiscal responsibility.
[Pre-Local Government Recodification Citations: 4-15-5-5 part; 19-10-4-5.]
As added by Acts 1980, P.L.8, SEC.41. Amended by P.L.24-1985, SEC.12.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 8. Group Insurance for Public Employees › 5-10-8-6.5. General Assembly Members and Former Members

Sec. 6.5. (a) A member of the general assembly may elect to participate in either:
(1) the plan of self-insurance established by the state police department under section 6 of this chapter;
(2) the plan of self-insurance established by the state personnel department under section 7 of this chapter; or
(3) a prepaid health care delivery plan established under section 7 of this chapter.
(b) A former member of the general assembly who meets the criteria for participation in a group health insurance program provided under section 8(e) or 8.1 of this chapter may elect to participate in either:
(1) the plan of self-insurance established by the state police department under section 6 of this chapter; or
(2) a group health insurance program provided under section 8(e) or 8.1 of this chapter.
(c) A member of the general assembly or former member of the general assembly who chooses a plan described in subsection (a)(1) or (b)(1) shall pay any amount of both the employer and the employee share of the cost of the coverage that exceeds the cost of the coverage under the new traditional plan.
As added by P.L.233-1999, SEC.2.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 8. Group Insurance for Public Employees › 5-10-8-7.1. Coverage for Autism Spectrum Disorder

Sec. 7.1. (a) As used in this section, "covered individual" means an individual who is:
(1) covered under a self-insurance program established under section 7(b) of this chapter to provide group health coverage; or
(2) entitled to health services under a contract with a prepaid health care delivery plan that is entered into or renewed under section 7(c) of this chapter.
(b) As used in this section, "autism spectrum disorder" means a neurological condition, including Asperger's syndrome and autism, as defined in the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association.
(c) A self-insurance program established under section 7(b) of this chapter to provide health care coverage must provide a covered individual with coverage for the treatment of an autism spectrum disorder. Coverage provided under this section is limited to treatment that is prescribed by the covered individual's treating physician in accordance with a treatment plan. A self-insurance program 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 or health plan solely because the individual is diagnosed with an autism spectrum disorder.
(d) A contract with a prepaid health care delivery plan that is entered into or renewed under section 7(c) of this chapter must provide a covered individual with services for the treatment of an autism spectrum disorder. Services provided under this section are limited to treatment that is prescribed by the covered individual's treating physician in accordance with a treatment plan. A prepaid health care delivery plan may not deny or refuse to provide services to, or refuse to renew, refuse to reissue, or otherwise terminate or restrict services to, an individual solely because the individual is diagnosed with an autism spectrum disorder.
(e) The coverage required by subsection (c) and services required by subsection (d) may not be subject to dollar limits, deductibles, copayments, or coinsurance provisions that are less favorable to a covered individual than the dollar limits, deductibles, copayments, or coinsurance provisions that apply to physical illness generally under the self-insurance program or contract with a prepaid health care delivery plan.
As added by P.L.148-2001, SEC.1. Amended by P.L.188-2013, SEC.2.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 8. Group Insurance for Public Employees › 5-10-8-7.4. Use of Value Based Coverage

Sec. 7.4. The state personnel department shall, when contracting for the self-insurance program under section 7(b) of this chapter or prepaid health care delivery under section 7(c) of this chapter, require the use of value based coverage as part of the contract.
As added by P.L.201-2023, SEC.77.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 8. Group Insurance for Public Employees › 5-10-8-7.5. Prostate Specific Antigen Test

Sec. 7.5. (a) As used in this section, "covered individual" means a male individual who is:
(1) covered under a self-insurance program established under section 7(b) of this chapter to provide group health coverage; or
(2) entitled to services under a contract with a health maintenance organization (as defined in IC 27-13-1-19) that is entered into or renewed under section 7(c) of this chapter.
(b) As used in this section, "prostate specific antigen test" means a standard blood test performed to determine the level of prostate specific antigen in the blood.
(c) A self-insurance program established under section 7(b) of this chapter to provide health care coverage must provide covered individuals with coverage for prostate specific antigen testing.
(d) A contract with a health maintenance organization that is entered into or renewed under section 7(c) of this chapter must provide covered individuals with prostate specific antigen screening.
(e) The coverage required under subsections (c) and (d) must include the following:
(1) At least one (1) prostate specific antigen test annually for a covered individual who is at least fifty (50) years of age.
(2) At least one (1) prostate specific antigen test annually for a covered individual who is less than fifty (50) years of age and who is at high risk for prostate cancer according to the most recent published guidelines of the American Cancer Society.
(f) The coverage required under this section may not be subject to dollar limits, deductibles, copayments, or coinsurance provisions that are less favorable to covered individuals than the dollar limits, deductibles, copayments, or coinsurance provisions applying to physical illness generally under the self-insurance program or contract with a health maintenance organization.
(g) The coverage for prostate specific antigen screening shall be provided in addition to benefits specifically provided for x-rays, laboratory testing, or wellness examinations.
As added by P.L.170-1999, SEC.2.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 8. Group Insurance for Public Employees › 5-10-8-7.7. Surgical Treatment for Morbid Obesity

Sec. 7.7. (a) As used in this section, "covered individual" means an individual who is covered under a health care plan.
(b) As used in this section, "health care plan" means:
(1) a self-insurance program established under section 7(b) of this chapter to provide group health coverage; or
(2) a contract entered into under section 7(c) of this chapter to provide health services through a prepaid health care delivery plan.
(c) As used in this section, "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.
(d) As used in this section, "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 subsection, body mass index is equal to weight in kilograms divided by height in meters squared.
(e) Except as provided in subsection (f), the state shall provide 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.
(f) The state may not provide coverage for surgical treatment of morbid obesity for a covered individual 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 covered individual; or
(2) restore the covered individual's ability to maintain a major life activity (as defined in IC 4-23-29-6);
and each physician documents in the covered individual's medical record the reason for the physician's determination.
As added by P.L.78-2000, SEC.1. Amended by P.L.196-2005, SEC.1; P.L.102-2006, SEC.1.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 8. Group Insurance for Public Employees › 5-10-8-7.8. Colorectal Cancer Testing Coverage; Exception for High Deductible Health Plans

Sec. 7.8. (a) As used in this section, "covered individual" means an individual who is:
(1) covered under a self-insurance program established under section 7(b) of this chapter to provide group health coverage; or
(2) entitled to services under a contract with a health maintenance organization (as defined in IC 27-13-1-19) that is entered into or renewed under section 7(c) of this chapter.
(b) A:
(1) self-insurance program established under section 7(b) of this chapter to provide health care coverage; or
(2) contract with a health maintenance organization that is entered into or renewed under section 7(c) of this chapter;
must provide coverage for colorectal cancer examinations and laboratory tests for cancer for any nonsymptomatic covered individual.
(c) For a covered individual who is:
(1) at least forty-five (45) years of age; or
(2) less than forty-five (45) years of age and at high risk for colorectal cancer;
the coverage required under this section must meet the requirements set forth in subsection (d), except as provided in subsection (e).
(d) A covered individual may not be required to pay an additional deductible or coinsurance for the colorectal cancer examination and laboratory testing benefit required by this section that is greater than an annual deductible or coinsurance established for similar benefits under the self-insurance program or contract with a health maintenance organization under which the covered individual is covered or entitled to services. If the program or contract does not cover a similar benefit, a deductible or coinsurance for the colorectal cancer examination and laboratory testing benefit may not be set at a level that materially diminishes the value of the colorectal cancer examination and laboratory testing benefit.
(e) The requirements imposed under this section do not apply to a high deductible health plan, as defined by Section 223 of the Internal Revenue Code. High deductible health plans described in this subsection may not excuse a deductible requirement with respect to colorectal cancer screening in a manner inconsistent with Section 223(c)(2)(C) of the Internal Revenue Code.
As added by P.L.54-2000, SEC.1. Amended by P.L.36-2020, SEC.1.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 8. Group Insurance for Public Employees › 5-10-8-8.3. Former State and Legislative Employees; Health Benefit Plans

Sec. 8.3. (a) As used in this section, "department" refers to the state personnel department.
(b) The department shall establish, or contract for the establishment of, at least two (2) retiree health benefit plans to be available for former employees of:
(1) the state; and
(2) the legislative branch of government;
whose employer elects under section 8(j) of this chapter to permit its former employees to continue to participate in a health insurance program under this chapter after the employees have become eligible for Medicare coverage. At least one (1) of the plans offered to former employees must include coverage for prescription drugs comparable to a Medicare plan that provides prescription drug benefits. This subsection expires July 1, 2014.
(c) The department shall not, after June 30, 2014, amend or renew a retiree health benefit plan described in subsection (b) that is in effect on June 30, 2014.
(d) A retiree health benefit plan described in subsection (b) that is in effect on June 30, 2014, terminates on the first plan renewal date occurring after June 30, 2014.
As added by P.L.13-2001, SEC.11. Amended by P.L.91-2014, SEC.14.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 8. Group Insurance for Public Employees › 5-10-8-8.4. Revocation or Alteration by Employer

Sec. 8.4. Except as provided by an enactment of the general assembly, an election by an employer under:
(1) section 8(f) of this chapter concerning the payment of a retired employee's premium; or
(2) section 8(j) of this chapter concerning Medicare coverage and program eligibility;
may not be revoked or altered at any time by the employer or a subsequent employer to the detriment of a person entitled to benefits under section 8.2 of this chapter.
As added by P.L.184-2001, SEC.6.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 8. Group Insurance for Public Employees › 5-10-8-8.5. Establishment of Retiree Health Benefit Trust Fund

Sec. 8.5. (a) The retiree health benefit trust fund is established to provide funding for a retiree health benefit plan developed under IC 5-10-8.5.
(b) The trust fund shall be administered by the INPRS. The expenses of administering the trust fund shall be paid from money in the trust fund. The trust fund consists of cigarette tax revenues deposited in the fund under IC 6-7-1-28.1(6) and other appropriations, revenues, or transfers to the trust fund under IC 4-12-1.
(c) The INPRS shall invest the money in the trust fund not currently needed to meet the obligations of the trust fund in the same manner and with the same limitations described in IC 5-10.5-4-1 and IC 5-10.5-5-1.
(d) The trust fund is considered a trust fund for purposes of IC 4-9.1-1-7. Money may not be transferred, assigned, or otherwise removed from the trust fund by the state board of finance, the budget agency, or any other state agency.
(e) The trust fund shall be established and administered in a manner that complies with Internal Revenue Code requirements concerning health reimbursement arrangement (HRA) trusts. Contributions by the state to the trust fund are irrevocable. All assets held in the trust fund must be held for the exclusive benefit of participants of the retiree health benefit plan developed under IC 5-10-8.5 and their beneficiaries. All assets in the trust fund:
(1) are dedicated exclusively to providing benefits to participants of the plan and their beneficiaries according to the terms of the plan; and
(2) are exempt from levy, sale, garnishment, attachment, or other legal process.
(f) Money in the trust fund does not revert to the state general fund at the end of any state fiscal year.
(g) The money in the trust fund is appropriated to the INPRS for providing the retiree health benefit plan developed under IC 5-10-8.5.
(h) The budget agency may transfer appropriations from federal or dedicated funds to the retiree health benefit trust fund.
As added by P.L.182-2009(ss), SEC.68. Amended by P.L.108-2019, SEC.85; P.L.92-2021, SEC.4; P.L.201-2023, SEC.78.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 8. Group Insurance for Public Employees › 5-10-8-9. Coverage of Services for Mental Illness

Sec. 9. (a) This section does not apply if the application of this section would increase the premiums of the health services policy or plan, as certified under IC 27-8-5-15.7, by more than four percent (4%) as a result of complying with subsection (c).
(b) As used in this section, "coverage of services for mental illness" includes benefits with respect to mental health services as defined by the contract, policy, or plan for health services. The term includes services for the treatment of substance abuse and chemical dependency when the services are required in the treatment of a mental illness.
(c) If the state enters into a contract for health services through prepaid health care delivery plans, medical self-insurance, or group health insurance for state employees, the contract may not permit treatment limitations or financial requirements on the coverage of services for mental illness if similar limitations or requirements are not imposed on the coverage of services for other medical or surgical conditions.
(d) This section applies to a contract for health services through prepaid health care delivery plans, medical self-insurance, or group medical coverage for state employees that is issued, entered into, or renewed after June 30, 1997.
(e) This section does not require the contract for health services to offer mental health benefits.
As added by P.L.42-1997, SEC.1. Amended by P.L.81-1999, SEC.1; P.L.291-2001, SEC.230.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 8. Group Insurance for Public Employees › 5-10-8-10. Examining Infants for Hiv; Payment

Sec. 10. (a) The state shall cover the testing required under IC 16-41-6-4 and the examinations required under IC 16-41-17-2 under a:
(1) self-insurance program established or maintained under section 7(b) of this chapter to provide group health coverage; and
(2) contract entered into or renewed under section 7(c) of this chapter to provide health services through a prepaid health care delivery plan.
(b) Payment to a hospital for a test required under IC 16-41-6-4 must be in an amount equal to the hospital's actual cost of performing the test.
As added by P.L.91-1999, SEC.1. Amended by P.L.237-2003, SEC.1.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 8. Group Insurance for Public Employees › 5-10-8-10.5. Dental Care Provisions Required

Sec. 10.5. (a) As used in this section, "child" means an individual who is less than nineteen (19) years of age.
(b) As used in this section, "covered individual" means a child or an individual:
(1) with a physical or mental impairment that substantially limits one (1) or more of the major life activities of the individual; or
(2) who:
(A) has a record of; or
(B) is regarded as;
having an impairment described in subdivision (1).
(c) If the state enters into a contract for basic health care services (as defined in IC 27-13-1-4) through prepaid health care delivery plans, medical self-insurance, or group health insurance for state employees, the contract must include coverage for anesthesia and hospital charges for dental care for a covered individual if the mental or physical condition of the covered individual requires dental treatment to be rendered in a hospital or an ambulatory outpatient surgical center. The Indications for General Anesthesia, as published in the reference manual of the American Academy of Pediatric Dentistry, are the utilization standards for determining whether performing dental procedures necessary to treat the covered individual's condition under general anesthesia constitutes appropriate treatment.
(d) A health care contractor that issues a contract for basic health care services as described in subsection (c) may:
(1) require prior authorization for hospitalization or treatment in an ambulatory outpatient surgical center for dental care procedures in the same manner that prior authorization is required for hospitalization or treatment of other covered medical conditions; and
(2) restrict coverage to include only procedures performed by a licensed dentist who has privileges at the hospital or ambulatory outpatient surgical center.
(e) This section does not apply to treatment rendered for temporal mandibular joint disorders (TMJ).
As added by P.L.189-1999, SEC.1.
2023 Indiana Code › Title 5. State and Local Administration › Article 10. Public Employee Benefits › Chapter 8. Group Insurance for Public Employees › 5-10-8-11. Use of Diagnostic or Procedure Codes

Sec. 11. (a) As used in this section, "administrator" means:
(1) the state personnel department;
(2) an entity with which the state contracts to administer health coverage under section 7(b) of this chapter; or
(3) a prepaid health care delivery plan with which the state contracts under section 7(c) of this chapter.
(b) As used in this section, "health care plan" has the meaning set forth in section 7.7 of this chapter.
(c) As used in this section, "provider" has the meaning set forth in IC 27-8-11-1.
(d) Not more than ninety (90) days after the effective date of a diagnostic or procedure code described in this subsection:
(1) an administrator shall begin using the most current version of the:
(A) current procedural terminology (CPT);
(B) international classification of diseases (ICD);
(C) American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM);
(D) current dental terminology (CDT);
(E) Healthcare common procedure coding system (HCPCS); and
(F) third party administrator (TPA);
codes under which the administrator pays claims for services provided under a health care plan; and
(2) a provider shall begin using the most current version of the:
(A) current procedural terminology (CPT);
(B) international classification of diseases (ICD);
(C) American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM);
(D) current dental terminology (CDT);
(E) Healthcare common procedure coding system (HCPCS); and
(F) third party administrator (TPA);
codes under which the provider submits claims for payment for services provided under a health care plan.
(e) If a provider provides services that are covered under a health care plan:
(1) after the effective date of the most current version of a diagnostic or procedure code described in subsection (d); and
(2) before the administrator begins using the most current version of the diagnostic or procedure code;
the administrator shall reimburse the provider under the version of the diagnostic or procedure code that was in effect on the date that the services were provided.
As added by P.L.161-2001, SEC.1. Amended by P.L.66-2002, SEC.1.