(a) A contracting entity shall not:(1) Lease, rent, or sell a healthcare contract or provider network of a health benefit plan to another contracting entity, healthcare insurer, or third-party administrator; or(2) In any manner allow the use of a healthcare contract or provider network of a health benefit plan by another contracting entity, healthcare insurer, or third-party administrator.
(1) Lease, rent, or sell a healthcare contract or provider network of a health benefit plan to another contracting entity, healthcare insurer, or third-party administrator; or
(2) In any manner allow the use of a healthcare contract or provider network of a health benefit plan by another contracting entity, healthcare insurer, or third-party administrator.
(b) (1) A violation of this section is:(A) An unfair trade practice under § 23-66-206; and(B) Subject to the Trade Practices Act, § 23-66-201 et seq.(2) If a healthcare contract contains a provision that violates this section, then the provision under the healthcare contract is void.
(1) A violation of this section is:(A) An unfair trade practice under § 23-66-206; and(B) Subject to the Trade Practices Act, § 23-66-201 et seq.
(A) An unfair trade practice under § 23-66-206; and
(B) Subject to the Trade Practices Act, § 23-66-201 et seq.
(2) If a healthcare contract contains a provision that violates this section, then the provision under the healthcare contract is void.
(c) This section does not apply if:(1) A contracting entity is a dental-only plan and grants access to the contracting entity's provider network or healthcare contract to another healthcare insurer or entity that is:(A) An affiliate of the healthcare insurer; or(B) Operating according to the same brand licensee program as the healthcare insurer; or(2) A contracting entity:(A) Provides notice of the intent to lease, rent, or sell a healthcare contract or provider network of a health benefit plan to another healthcare insurer or third-party administrator;(B) Allows a healthcare provider that is a party to the healthcare contract or provider network of a health benefit plan the opportunity to opt out of participating in the:(i) Proposed lease, rental, or sale of a healthcare contract or provider network of a health benefit plan entirely upon the execution or renewal of the healthcare contract; and(ii) Lease, rental, or sale of a healthcare contract with respect to an individual contracting entity, healthcare insurer, or third-party administrator upon notice that the individual contracting entity, healthcare insurer, or third-party administrator has violated the terms of the healthcare contract; and(C) Provides contact information for the healthcare insurer or third-party administrator using the healthcare contract or provider network of a health benefit plan, including without limitation:(i) Contact name;(ii) Mailing address;(iii) Direct telephone number for customer service matters; and(iv) Direct email address for customer service matters.
(1) A contracting entity is a dental-only plan and grants access to the contracting entity's provider network or healthcare contract to another healthcare insurer or entity that is:(A) An affiliate of the healthcare insurer; or(B) Operating according to the same brand licensee program as the healthcare insurer; or
(A) An affiliate of the healthcare insurer; or
(B) Operating according to the same brand licensee program as the healthcare insurer; or
(2) A contracting entity:(A) Provides notice of the intent to lease, rent, or sell a healthcare contract or provider network of a health benefit plan to another healthcare insurer or third-party administrator;(B) Allows a healthcare provider that is a party to the healthcare contract or provider network of a health benefit plan the opportunity to opt out of participating in the:(i) Proposed lease, rental, or sale of a healthcare contract or provider network of a health benefit plan entirely upon the execution or renewal of the healthcare contract; and(ii) Lease, rental, or sale of a healthcare contract with respect to an individual contracting entity, healthcare insurer, or third-party administrator upon notice that the individual contracting entity, healthcare insurer, or third-party administrator has violated the terms of the healthcare contract; and(C) Provides contact information for the healthcare insurer or third-party administrator using the healthcare contract or provider network of a health benefit plan, including without limitation:(i) Contact name;(ii) Mailing address;(iii) Direct telephone number for customer service matters; and(iv) Direct email address for customer service matters.
(A) Provides notice of the intent to lease, rent, or sell a healthcare contract or provider network of a health benefit plan to another healthcare insurer or third-party administrator;
(B) Allows a healthcare provider that is a party to the healthcare contract or provider network of a health benefit plan the opportunity to opt out of participating in the:(i) Proposed lease, rental, or sale of a healthcare contract or provider network of a health benefit plan entirely upon the execution or renewal of the healthcare contract; and(ii) Lease, rental, or sale of a healthcare contract with respect to an individual contracting entity, healthcare insurer, or third-party administrator upon notice that the individual contracting entity, healthcare insurer, or third-party administrator has violated the terms of the healthcare contract; and
(i) Proposed lease, rental, or sale of a healthcare contract or provider network of a health benefit plan entirely upon the execution or renewal of the healthcare contract; and
(ii) Lease, rental, or sale of a healthcare contract with respect to an individual contracting entity, healthcare insurer, or third-party administrator upon notice that the individual contracting entity, healthcare insurer, or third-party administrator has violated the terms of the healthcare contract; and
(C) Provides contact information for the healthcare insurer or third-party administrator using the healthcare contract or provider network of a health benefit plan, including without limitation:(i) Contact name;(ii) Mailing address;(iii) Direct telephone number for customer service matters; and(iv) Direct email address for customer service matters.
(i) Contact name;
(ii) Mailing address;
(iii) Direct telephone number for customer service matters; and
(iv) Direct email address for customer service matters.
(d) Subdivision (c)(2)(B) of this section does not apply if a contracting entity grants access to the contracting entity's provider network or healthcare contract to another healthcare insurer or contracting entity that is:(1) An affiliate of the healthcare insurer; or(2) Operating according to the same brand licensee program as the healthcare insurer.
(1) An affiliate of the healthcare insurer; or
(2) Operating according to the same brand licensee program as the healthcare insurer.