Indiana independent insurance agents operate under the oversight of the Indiana Department of Insurance — and Indiana has become one of the most compliance-active states for Medicare Supplement marketing in 2026 following two consecutive legislative sessions that modified Indiana's Medigap guaranteed-issue framework. Indiana's birthday rule was first established by HEA 1226 in 2025 and then significantly amended by HEA 1260 in 2026, creating a symmetric birthday window that differs from the original one-sided window and from the birthday rules adopted by California, Virginia, and other states. Multi-state agents who built Indiana Medigap marketing content in early 2026 based on the original HEA 1226 language need to update that content to reflect HEA 1260's amendments. This guide covers what Indiana agents actually need to know, verified against the Indiana Code including the enrolled text of HEA 1260 (P.L.86-2026).
Regulatory Authority
The Indiana Department of Insurance (IDOI) is the primary regulatory authority for insurance advertising and marketing in Indiana.
Primary citations governing Indiana insurance advertising:
- 760 IAC 1-19 — Indiana Administrative Code governing insurance advertising standards
- 760 IAC 3-1-1 through 3-20-1 — Indiana's adoption of NAIC Model 651 governing Medicare Supplement insurance
- IC 27-8-13-9.3 as added by P.L.56-2025 (HEA 1226) and amended by P.L.86-2026 (HEA 1260) — Indiana's Medigap birthday rule statute
Overall severity profile: Moderate-High for Medicare Supplement advertising — Indiana's rapidly evolving birthday rule framework requires agents to stay current with 2026 legislative changes. Moderate for standard advertising.
- IDOI Bulletins and Laws: https://www.in.gov/idoi/insurance-laws-rules-and-bulletins/
- IDOI Certificate of Advertising: https://www.in.gov/idoi/files/Certificate-of-Advertising.pdf
- IDOI Agent Licensing: https://www.in.gov/idoi/licensing/
- IDOI Newsroom: https://www.in.gov/idoi/newsroom/
Indiana's Medigap Birthday Rule — The Full 2026 Picture
Indiana's Medigap birthday rule has a two-session legislative history that makes it the most precisely documented state-specific compliance development in this guide. Getting it right requires understanding both HEA 1226 (2025) and HEA 1260 (2026).
The Original Birthday Rule — HEA 1226 (P.L.56-2025)
Indiana's original Medigap birthday rule was enacted by HEA 1226 in the 2025 legislative session, effective January 1, 2026. The original rule provided a one-sided 60-day window — meaning eligible Medigap policyholders had 60 days after their birthday to switch carriers on a guaranteed-issue basis.
The 2026 Amendment — HEA 1260 (P.L.86-2026)
HEA 1260 was signed March 4, 2026 and amended IC 27-8-13-9.3. The amendment modified the birthday window from a one-sided post-birthday window to a symmetric window:
- Original window under HEA 1226: 60 days after the policyholder's birthday only.
- Amended window under HEA 1260: beginning one month before the policyholder's birthday and ending one month after the policyholder's birthday — a symmetric two-sided window of approximately 60 to 63 days total depending on month length.
Application Date — Critical for Indiana Agents
HEA 1260 contains an explicit application date provision. The amended symmetric window applies only to Medicare Supplement policies delivered, issued, or renewed on or after March 15, 2026. For policies delivered, issued, or renewed before March 15, 2026, the original HEA 1226 one-sided 60-day-after-birthday window continues to govern.
This means Indiana agents may have clients operating under two different birthday window frameworks simultaneously — the original one-sided window for older policies and the symmetric window for policies issued or renewed on or after March 15, 2026.
New Policy Effective Date Provision
HEA 1260 also tightened the effective date rule for new policies issued under the birthday rule switching right. The new policy must go into effect on the first day of the next month that is at least 30 days after the signature date on the application. The insertion of "next" ensures the new policy takes effect on a specific first-of-month date at least 30 days out — removing any ambiguity about same-month effective dates.
Conditions and Limitations
Indiana's birthday rule applies to policyholders who are:
- At least 65 years of age.
- Already insured under a Medicare Supplement policy or certificate.
- Applying to a different issuer than their current Medigap carrier — same-carrier switches do not qualify.
- Seeking to maintain the same type of lettered Medicare Supplement plan including variations of that letter.
Marketing Compliance Implications for Indiana Agents
- Content built before HEA 1260 describing a "60-day window after your birthday" reflects the original HEA 1226 language only. It does not accurately describe the symmetric window now in effect for policies issued or renewed on or after March 15, 2026.
- Marketing content should describe the birthday window as beginning one month before and ending one month after the policyholder's birthday for policies subject to the amended window.
- Marketing content should accurately represent the same-carrier exclusion — clients must switch to a different insurer to qualify for the birthday rule switching right.
- Marketing content should accurately represent the same-plan-letter requirement — switches must be to the same lettered plan type.
- Content used for Indiana clients with legacy policies issued before March 15, 2026 may need to reflect the original one-sided window — an edge case but one that agents with established books of Indiana Medigap clients may encounter.
Indiana NAIC Model 651 Adoption — Medicare Supplement Advertising Standard
Indiana has adopted NAIC Model Regulation 651 governing Medicare Supplement insurance through 760 IAC 3-1-1 through 3-20-1 (adopted 2007, updated 2019). This is the applicable Medicare Supplement advertising standard for Indiana, not a generic NAIC advertising bulletin.
Indiana agents marketing Medicare Supplement products should ensure their advertising complies with 760 IAC 3 in its entirety — not just the federal CMS guidelines or the generic NAIC Model #40 advertising standards.
Required Disclosures — Exact Mandated Language
Agent Identification — All Advertising
Every piece of insurance advertising by an Indiana-licensed agent must include the agent's full name and Indiana license number. The IDOI Certificate of Advertising form is the closest Indiana-specific advertising compliance reference and should be reviewed by Indiana agents.
Required format:
[Agent Full Name], Licensed Insurance Producer, IN License #[XXXXXXXX]
Medicare Supplement Disclosure — BLOCK Level
All Medicare Supplement advertising in Indiana must include the CMS non-endorsement disclaimer without exception.
Required exact language:
Medicare Supplement insurance plans are not connected with or endorsed by the U.S. Government or the Federal Medicare program.
Company Identification
Indiana agents advertising specific insurance products must clearly identify the insurer whose product is being advertised.
Prohibited Language and Claims
The following content is prohibited in Indiana insurance advertising under 760 IAC 1-19 and 760 IAC 3:
- Using "free," "no cost," or similar terms to describe premium-funded benefits without full disclosure.
- Implying government endorsement or sponsorship of any insurance product.
- Rate or premium claims without disclosing that individual rates vary based on underwriting factors.
- Misrepresenting the Indiana birthday rule — including describing the window as 60-days-after-birthday only for policies subject to HEA 1260's symmetric window.
- Using "savings" or "save money" without a specific documented basis.
- Claiming "guaranteed approval" or "guaranteed issue" without accurately representing which guaranteed-issue rights apply and under what conditions.
- Omitting material exclusions, limitations, or waiting periods.
- Making comparison claims without ensuring substantially similar coverage and citing the comparison date.
- Using testimonials that make atypical claims without a clear disclaimer.
- Fabricating or materially altering testimonials — BLOCK-level violation.
Rate and Price Advertising
Indiana follows the NAIC Model #40 baseline for rate advertising with considerations for birthday rule Medigap content:
- Specific premium amounts must be accompanied by disclosure that rates vary based on individual underwriting factors.
- Birthday rule marketing that includes rate comparisons must ensure accuracy and must not imply health underwriting that the birthday rule prohibits during the switching window.
- Medicare Advantage $0 premium advertising requires genuine $0 premium, specific plan and county identification, and availability disclosure.
- ACA premium advertising must disclose subsidy-based estimates.
- Life insurance premium quotes must specify term versus permanent and disclose key underwriting factors.
Social Media Compliance
IDOI applies the same advertising standards to social media as to all other channels:
- All social media profiles used for insurance marketing must include agent name and Indiana license number.
- Targeted ads must include agent identification in ad copy.
- Stories, Reels, and short-form video with product references are treated as advertising.
- Reshared client reviews become the agent's advertising.
- Birthday rule marketing on social media must accurately reflect the symmetric HEA 1260 window for policies subject to the 2026 amendment.
Recordkeeping Requirements
Indiana-licensed producers must maintain records of all advertising materials:
- Maintain all advertising materials for a minimum of three years from the date last used.
- Document compliance review for each piece of advertising including accuracy review of birthday rule window representations.
- Note whether content is intended for clients with legacy pre-March-15-2026 policies (original one-sided window) or current policies (symmetric HEA 1260 window).
- Maintain records of carrier or FMO approval for advertising materials.
- Keep consent records for SMS marketing campaigns.
Continuing Education
Indiana requires licensed producers to complete continuing education for license renewal. Current CE requirements are maintained by IDOI at: https://www.in.gov/idoi/licensing/
State-Specific Quirks Indiana Agents Should Know
- HEA 1260 symmetric birthday window — effective for policies delivered, issued, or renewed on or after March 15, 2026. The window is one month before through one month after the birthday. Content describing the original HEA 1226 one-sided 60-day-after-birthday window is no longer fully accurate for current Indiana policies.
- Two-window reality — Indiana agents with established Medigap books may have clients subject to different birthday windows depending on their policy issue or renewal date. The March 15, 2026 application date creates a dividing line.
- Indiana NAIC Model 651 adoption — 760 IAC 3 governs Medicare Supplement advertising in Indiana, not just the generic NAIC Model #40. Agents marketing Medigap in Indiana should be familiar with 760 IAC 3's requirements.
- Indiana Bulletin 144 does not govern Medigap advertising — a common citation error. Indiana Bulletin 144 covers Credit Life and Accident and Health Rates. The applicable Indiana Medigap regulatory framework is 760 IAC 3, confirmed via NAIC's official Model 651 adoption tracker.
- Indiana rebating rules are enforced under Indiana insurance code provisions. Offering anything of value as an inducement to purchase insurance is prohibited.
Where to Verify — Official Indiana Regulatory Sources
- IDOI Bulletins and Laws: https://www.in.gov/idoi/insurance-laws-rules-and-bulletins/
- IDOI Certificate of Advertising: https://www.in.gov/idoi/files/Certificate-of-Advertising.pdf
- IDOI Agent Licensing: https://www.in.gov/idoi/licensing/
- IDOI Newsroom: https://www.in.gov/idoi/newsroom/
- Indiana General Assembly HEA 1260 Enrolled Act: https://iga.in.gov/pdf-documents/124/2026/house/bills/HB1260/HB1260.06.ENRS.pdf
How ACC Handles Indiana Compliance Automatically
Indiana agents using the Agency Command Center have every piece of Medicare Supplement marketing content checked against Indiana's current birthday rule framework — including HEA 1260's symmetric window for policies issued or renewed on or after March 15, 2026 and the original HEA 1226 one-sided window for legacy policies. The compliance engine applies a date-conditional branch to correctly scope the applicable window for each client's policy situation. Agent identification is injected automatically. Medicare disclaimers are enforced at the BLOCK level. 760 IAC 3 Model 651 standards are applied to all Indiana Medicare Supplement content. Every compliance decision is logged in a timestamped audit trail.
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Compliance information on this page is provided for educational purposes based on publicly available regulatory sources and does not constitute legal advice. Regulatory requirements are subject to change. All compliance rules should be independently verified against current primary sources before being relied upon. Last updated June 2026.
Sources: IC 27-8-13-9.3 as added by P.L.56-2025 §1 (HEA 1226) and amended by P.L.86-2026 §27 (HEA 1260) | 760 IAC 1-19 | 760 IAC 3-1-1 through 3-20-1 (NAIC Model 651) | NAIC Model #40 | NAIC Model #275 | CMS Publication 100-16 Chapter 3 | FTC 16 CFR Part 255 | IDOI https://www.in.gov/idoi | Indiana General Assembly HEA 1260 https://iga.in.gov
