Sec. 1369.153. INFORMATION REQUIRED ON IDENTIFICATION CARD. (a) An issuer of a health benefit plan that provides pharmacy benefits to enrollees shall include on the front of the identification card of each enrollee:
(1) the name of the entity administering the pharmacy benefits if the entity is different from the health benefit plan issuer;
(2) the group number applicable to the enrollee;
(3) the identification number of the enrollee, which may not be the enrollee's social security number;
(4) the bank identification number necessary for electronic billing;
(5) the effective date of the coverage evidenced by the card; and
(6) copayment information for generic and brand-name prescription drugs.
(b) In addition to the information required under Subsection (a), the issuer of a health benefit plan shall include on the identification card of each enrollee:
(1) the logo of the entity administering the pharmacy benefits if the entity is different from the health benefit plan issuer; and
(2) a telephone number for contacting an appropriate person to obtain information relating to the pharmacy benefits provided under the plan.
(c) In addition to complying with Subsections (a) and (b), an issuer of a health benefit plan may provide the information required under Subsections (a) and (b) in electronically readable form on the back of the identification card.
(d) This section does not require a health benefit plan issuer that administers its own pharmacy benefits to issue an identification card separate from any identification card issued to an enrollee to evidence coverage under the plan if the identification card issued to evidence coverage contains the information required by Subsections (a) and (b).
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Amended by:
Acts 2009, 81st Leg., R.S., Ch. 1117 (H.B. 1138), Sec. 2, eff. September 1, 2009.
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