§ 27-2-25.5-3 — Plan sponsor's ownership of claims data

Indiana § 27-2-25.5-3

• Jurisdiction: Indiana
• Title 27: INSURANCE
• Art. 2: POWERS AND DUTIES OF INSURERS
• Ch. 25.5: Claims Data

Text

(a) This section applies to a contract entered
into, issued, amended, or renewed after June 30, 2024.
(b) A contract:
(1) between a:
(A) third party administrator; and
(B) plan sponsor;
(2) between a:
(A) prepaid health care delivery plan under IC 5-10-8-7(c) to
provide group health coverage for state employees; and
(B) plan sponsor; or
(3) between:
(A) a pharmacy benefit manager (as defined in IC 27-1-24.5-12); and
(B) either a:
(i) plan sponsor; or
(ii) third party administrator for the administration of a
self-funded health benefit plan on behalf of the plan sponsor;
must provide that the plan sponsor owns the claims data relating to the
contract.
(c) Any claims data provided under this section must be provided in
accordance with the federal Health Insurance Portability and
Accountability Act (HIPAA) (P.L. 104-191).

Legislative History

As added by P.L.152-2024, SEC.15. Amended by P.L.215-2025, SEC.61.