As used in this chapter, "health payer" includes the following:
- (1) Medicare.
- (2) Medicaid or a managed care organization (as defined in IC 12-7-2.1-218 ) that has contracted with Medicaid to provide services to a Medicaid recipient.
(3) 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.
- (4) A health maintenance organization (as defined in IC 27-13-1-19 ).
- (5) A pharmacy benefit manager (as defined in IC 27-1-24.5-12 ).
- (6) An administrator (as defined in IC 27-1-25-1 ).
- (7) A multiple employer welfare arrangement (as defined in IC 27-1-34-1 ).
- (8) An employee benefit plan that is subject to the federal Employee Retirement Income Security Act of 1974 (29 U.S.C. 1001 et seq.), including a third party administrator of an employee benefit plan.
- (9) A state employee health plan (as defined in IC 5-10-8-6.7 (a)).
- (10) An insurance producer, for purposes of the required reporting under IC 27-1-15.6-13.6 .
- (11) Any other person identified by the commissioner for participation in the data base described in this chapter.
As added by P.L.50-2020, SEC.6. Amended by P.L.32-2021, SEC.84; P.L.195-2021, SEC.4; P.L.165-2022, SEC.6; P.L.190-2023, SEC.19; P.L.216-2025, SEC.45; P.L.145-2026, SEC.144.