1. (a) A health plan shall:

   1. (1) establish a procedure by which a covered individual may claim a credit under section 7 of this chapter; and
   2. (2) identify documentation necessary to support a claim for a credit under section 7 of this chapter.

2. (b) A health plan may either:

   1. (1) publish average discounted rates that the health plan has negotiated to pay health care providers for health care services; or

   2. (2) refer to average or typical rates on the all payer claims data base established under IC 27-1-44.5 ;

      for purposes of a covered individual claiming a credit under section 7 of this chapter.

3. (c) A covered individual may use the data on average or typical rates reported on the all payer claims data base established under IC 27-1-44.5 to determine the average discounted rate for a health care service under section 7 of this chapter.

As added by P.L.237-2025, SEC.9.