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Indiana Code Title 25. Professions and Occupations § 25-1-8.5-2

Current as of January 02, 2024 | Updated by Findlaw Staff

Sec. 2. (a) As used in this chapter, “health care entity” means any of the following:

(1) Except as provided in subsection (b), an organization or business that provides diagnostic, medical, surgical, dental treatment, or rehabilitative care.

(2) An insurer that issues a policy of accident and sickness insurance (as defined in IC 27-8-5-1), except for the following types of coverage:

(A) Accident only, credit, dental, vision, long term care, or disability income insurance.

(B) Coverage issued as a supplement to liability insurance.

(C) Automobile medical payment insurance.

(D) A specified disease policy.

(E) A policy that provides indemnity benefits not based on any expense incurred requirements, including a plan that provides coverage for:

(i) hospital confinement, critical illness, or intensive care;  or

(ii) gaps for deductibles or copayments.

(F) Worker's compensation or similar insurance.

(G) A student health plan.

(H) A supplemental plan that always pays in addition to other coverage.

(3) A health maintenance organization (as defined in IC 27-13-1-19).

(4) A pharmacy benefit manager (as defined in IC 27-1-24.5-12).

(5) An administrator (as defined in IC 27-1-25-1).

(6) A private equity partnership, regardless of where the private equity partnership is located, seeking to enter into a merger or acquisition with an entity described in subdivisions (1) through (5).

(b) The term does not include:

(1) a health care provider (as defined by IC 4-6-14-2) that is majority owned, or that would be majority owned after the merger or acquisition, by practitioners who:

(A) are licensed in Indiana;  and

(B) routinely provide health care services in the practitioner owned practice;

(2) the Medicaid program;  or

(3) the Medicare program.

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Cite this article: FindLaw.com - Indiana Code Title 25. Professions and Occupations § 25-1-8.5-2 - last updated January 02, 2024 | https://codes.findlaw.com/in/title-25-professions-and-occupations/in-code-sect-25-1-8-5-2/

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