Indiana § 27-1-24.2-19 Prohibited actions by a third party administrator

Indiana Statutes

§ 27-1-24.2-19 — Prohibited actions by a third party administrator

Indiana § 27-1-24.2-19

Title 27INSURANCE

Art. 1DEPARTMENT OF INSURANCE

Ch. 24.2Pharmacy Benefits

This text of Indiana § 27-1-24.2-19 (Prohibited actions by a third party administrator) is published on Counsel Stack Legal Research, covering Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Ind. Code § 27-1-24.2-19 (2026).

Text

Effective 1-1-2026. Sec. 19.

(a)As used in this section, "plan sponsor" means an employer or organization that:

(1)has more than one hundred (100) employees or members; and

(2)offers health insurance coverage to its employees or members through a self-funded health benefit plan.

(b)A third party administrator may not:

(1)require, as a condition of a plan sponsor entering into a contract with the third party administrator, that the plan sponsor enter into a contract with a particular pharmacy benefit manager; or

(2)charge a different fee for services provided by the third party administrator to a plan sponsor based on the plan sponsor's selection of a particular pharmacy benefit manager.

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Effective 1-1-2026.
Sec. 19. (a) As used in this section, "plan sponsor"
means an employer or organization that:
(1) has more than one hundred (100) employees or members; and
(2) offers health insurance coverage to its employees or members
through a self-funded health benefit plan.
(b) A third party administrator may not:
(1) require, as a condition of a plan sponsor entering into a
contract with the third party administrator, that the plan sponsor
enter into a contract with a particular pharmacy benefit manager;
or
(2) charge a different fee for services provided by the third party
administrator to a plan sponsor based on the plan sponsor's
selection of a particular pharmacy benefit manager.