It is the intent of the General Assembly to improve care to patients by minimizing confusion, eliminating unnecessary paperwork, decreasing administrative burdens, and streamlining dispensing of prescription products paid for by third-party payors. This subchapter shall be construed liberally to effectuate this purpose.
As used in this subchapter: (1) “Commissioner” means the Insurance Commissioner; (2) “Covered person” means a person on whose behalf a health benefit plan is obligated to pay benefits pursuant to the health benefit plan; and (3) “Health benefit plan” means any individual, blanket, or group plan, policy, certificate, or contract for healthcare services issued […]
This subchapter shall not apply to: (1) Accidental injury insurance plans; (2) Dental insurance plans; (3) Vision insurance plans; (4) Specified disease insurance plans; (5) Disability income plans; (6) Credit insurance plans; (7) Insurance coverage issued as a supplement to liability insurance; (8) Medical payments under automobile or homeowners insurance plans; (9) Health benefit plans […]
(a) Every health benefit plan that provides coverage for prescription drugs or devices and issues a card or other technology for claims processing and every administrator of such plans, including third-party administrators for self-insured plans, pharmacy benefit managers, and administrators of state plans, shall issue to all covered persons a uniform card or other technology […]
(a) Upon enrollment of a covered person, a health benefit plan shall issue a uniform prescription drug information card or other technology in accordance with the requirements of § 23-80-404. (b) Upon any change in a covered person’s coverage that impacts in content or format any information contained on a uniform prescription drug information card […]
(a) This subchapter does not require a health benefit plan that provides coverage for prescription drugs or devices to issue a card or other technology separate from any identification card issued to a covered person to evidence coverage under the health benefit plan, if the card or other technology contains all of the required fields […]
All prescription drug information cards or other technologies, including dual-use identification cards described in § 23-80-406, that are executed, delivered, issued, modified, extended, or renewed by a health benefit plan shall comply with the requirements of this subchapter.
The Insurance Commissioner shall have all the powers to enforce this subchapter that are granted to the commissioner elsewhere in the Arkansas Insurance Code.
The Insurance Commissioner shall promulgate rules necessary to implement this subchapter and shall look for guidance to the standards and implementation guides produced by the National Council for Prescription Drug Programs.
