Sec. 3. (a) This section applies to a contract entered into, issued, amended, or renewed after June 30, 2024.

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Terms Used In Indiana Code 27-2-25.5-3

  • Contract: A legal written agreement that becomes binding when signed.
  • plan sponsor: means an individual or entity that offers health insurance coverage to its employees or members through a self-funded health benefit plan, including:

    Indiana Code 27-2-25.5-0.5

     (b) A contract:

(1) between a:

(A) third party administrator; and

(B) plan sponsor;

(2) between a:

(A) prepaid health care delivery plan under IC 5-10-8-7(c) to provide group health coverage for state employees; and

(B) plan sponsor; or

(3) between:

(A) a pharmacy benefit manager (as defined in IC 27-1-24.5-12); and

(B) either a:

(i) plan sponsor; or

(ii) third party administrator for the administration of a self-funded health benefit plan on behalf of the plan sponsor;

must provide that the plan sponsor owns the claims data relating to the contract. However, a plan sponsor’s ownership of the claims data under this section may not be construed to require the pharmacy benefit manager or third party administrator to disclose a trade secret (as defined in IC 24-2-3-2).

     (c) Any claims data provided under this section must be provided in accordance with the federal Health Insurance Portability and Accountability Act (HIPAA) (P.L. 104-191).

As added by P.L.152-2024, SEC.15.

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