As used in this part:
- (1) “Card issuer” means the insurance company, hospital medical service corporation, health maintenance organization, or other entity issuing a health benefit plan that provides prescription drug benefits;
- (2) “Dual-use health benefit plan/prescription drug information card” means a prescription drug information card that contains information for the processing of claims for healthcare services, supplies, or equipment in addition to prescription drugs or devices;
- (3) “Health benefit plan” means any individual, blanket, or group plan, policy, certificate, or contract for healthcare services issued or delivered in Arkansas, including indemnity plans, managed care plans, plans provided or arranged by fraternal benefit societies, plans provided or arranged by health maintenance organizations, health governmental plans as defined in 29 U.S.C. § 1002(32), as in effect January 1, 2001, plans provided through a multiple employer welfare arrangement, or plans provided through another benefit arrangement, to the extent permitted by the Employee Retirement Income Security Act of 1974, as in effect January 1, 2001, or by any waiver of or other exception to that act provided under federal law or regulation, as in effect January 1, 2001;
- (4) “Prescription drug information card” means an identification card-sized document that contains information necessary for a pharmacist to communicate claims information to a processor to adjudicate claims for prescription drugs and devices;
(5)
- (A) “Processor” means the entity that electronically receives and adjudicates a prescription drug claim.
- (B) The processor may be a pharmacy benefits manager or the card issuer; and
- (6) “Stand-alone prescription drug information card” means a prescription drug information card that provides information solely for the processing of claims for prescription drugs and devices.
Codification Notes: The Employee Retirement Income Security Act of 1974 is codified generally as 29 U.S.C. § 1001 et seq.