"Insurer"; Electronic Data Base; Required Information; Rules

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Sec. 6. (a) As used in this section, "insurer" means:

(1) an issuer of an accident and sickness insurance policy; or

(2) a third party administrator of health benefits and services under an accident and sickness insurance policy.

(b) The electronic data base by which an insurer allows an insured or a provider to verify an insured's coverage or benefits under an accident and sickness insurance policy issued or administered by the insurer must include the following information for each insured:

(1) Whether health benefits and services under the accident and sickness insurance policy are provided by:

(A) the issuer of the accident and sickness insurance policy; or

(B) a third party administrator.

(2) Whether the accident and sickness insurance policy is subject to state or federal regulation.

(c) The department of insurance shall adopt rules under IC 4-22-2 to ensure compliance with this section.

As added by P.L.111-2020, SEC.12.


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