§33-52-5. Filing Procedures
(a) An insurer, or the insurance group of which the insurer is a member, required to file a CGAD by §33-52-3 of this code, shall, no later than June 1 of each calendar year, submit to the commissioner a CGAD that contains the information described in §33-52-4 of this code. (b) The insurer or insurance […]
§33-52-6. Confidentiality
(a) Documents, materials or other information, including the CGAD, in the possession or control of the commissioner that are obtained by, created by or disclosed to the commissioner or any other person under this article, are recognized by this state as being proprietary and to contain trade secrets. All such documents, materials or other information […]
§33-51-12. Reporting Requirements
(a) A pharmacy benefits manager shall report to the commissioner on an annual basis, or more often as the commissioner deems necessary, for each health plan or covered entity the following information: (1) The aggregate amount of rebates received by the pharmacy benefits manager;
§33-51-13. Effective Date
Notwithstanding any other effective date to the contrary, the amendments to this article enacted during the 2022 regular legislative session shall apply to all policies, contracts, plans, or agreements subject to this section that are delivered, executed, amended, adjusted, or renewed on or after January 1, 2023.
§33-52-1. Short Title, Purpose and Scope of Article
(a) This article may be cited as the “Corporate Governance Annual Disclosure Act”. (b) The purpose of this article is to: (1) Provide the commissioner a summary of an insurers or insurance groups corporate governance structure, policies and practices to permit the commissioner to gain and maintain an understanding of the insurers corporate governance framework;
§33-52-2. Definitions
As used in this article: (1) “Board” means the board of directors of an insurer or insurance group.
§33-52-3. Disclosure Requirements
(a) An insurer, or the insurance group of which the insurer is a member, shall annually submit to the commissioner a CGAD that contains the information described in §33-52-4 of this code. Notwithstanding any request from the commissioner made pursuant to subsection (c) of this section, if the insurer is a member of an insurance […]
§33-51-11. Freedom of Consumer Choice for Pharmacy
(a) A pharmacy benefits manager, may not: (1) Prohibit or limit any covered individual from selecting a pharmacy or pharmacist of his or her choice who has agreed to participate in the health benefit plan according to the terms offered by the health benefit plan;
§33-51-2. Scope
This article covers any audit of the records of a pharmacy conducted by a managed care company, third-party payer, pharmacy benefits manager or an entity that represents a covered entity, or health benefit plan, the registration of auditing entities, and the licensure and regulation of pharmacy benefits managers.
§33-51-3. Definitions
For purposes of this article: “340B entity” means an entity participating in the federal 340B drug discount program, as described in 42 U.S.C. 256b, including its pharmacy or pharmacies, or any pharmacy or pharmacies, contracted with the participating entity to dispense drugs purchased through such program. “Affiliate” means a pharmacy, pharmacist, or pharmacy technician which, […]