Electronic data base requirements; rulemaking authority

Sec. 7. (a) The electronic data base by which a health maintenance organization or by which a third party administrator of benefits and health care services offered under a health maintenance organization contract allows an enrollee or a provider to verify an enrollee's coverage or benefits under a health maintenance organization contract must include the following information for each enrollee: (1) Whether benefits and health care services under the health maintenance organization contract are provided by: (A) the health maintenance organization; or (B) a third party administrator. (2) Whether the health maintenance organization contract is a self-funded or fully-funded plan. (b) The department shall adopt rules under IC 4-22-2 to ensure compliance with this section. As added by P.L.111-2020, SEC.15.