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23-86-506. Health insurance purchasing group administrative services to members.

Arkansas Code — all titles (historical 2020) · legal_authorities

23-86-506. Health insurance purchasing group administrative services to members.

23-86-506. Health insurance purchasing group administrative services to members. (a)(1) Each health insurance purchasing group may provide administrative services for its members. (2) The services may include, but are not limited to, accounting, billing, enrollment information, and employee coverage status reports. (b) The health insurance purchasing group may delegate or contract its billing and other administrative duties to a third-party administrator as defined under § 23-92-201 in compliance with the Arkansas Insurance Code. (c) Nothing in this section shall be construed as preventing a health insurance purchasing group from serving as an administrative service organization to any entity. (d)(1) Each health insurance purchasing group shall collect and disseminate or arrange for the collection and dissemination of consumer-oriented information on the scope, cost, and enrollee satisfaction of all coverage options offered through the health insurance purchasing group to its members. (2) The information shall be defined by the health insurance purchasing group and shall be in a manner appropriate to the type of coverage offered. (3) To the extent practicable, the information shall include information on provider performance, locations, and hours of operation of providers, outcomes, and similar matters. (4) Nothing in this section shall be construed as preventing the dissemination of the information or other information by the health insurance purchasing group or by the healthcare insurer, health maintenance organization, or organization through electronic or other means. (e) The contract between a health insurance purchasing group and a health insurance purchasing group health carrier shall provide that the health insurance purchasing group may collec

Source: Arkansas Code — historical release 78 (November 6, 2020) · 23-86-506

Stored review status: Historical 2020-11-06 source release; later amendments not reconciled; machine-extracted, not independently legally reviewed; source heading status: text_in_historical_source. A text match is a research starting point; applicability is not established.

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Record provenance

Stable record: arkansas_code:legal_authorities:23-86-506
Source file: gov.ar.code.title.23.odt
Pages: Not recorded – Not recorded
Passage SHA-256: ae633936699aca12f1cef8927458c88da9fa7462a6ca5652d02686123c54437d

Source location: content.xml paragraph 52726

Stored source content

23-86-506. Health insurance purchasing group administrative services to members. (a)(1) Each health insurance purchasing group may provide administrative services for its members. (2) The services may include, but are not limited to, accounting, billing, enrollment information, and employee coverage status reports. (b) The health insurance purchasing group may delegate or contract its billing and other administrative duties to a third-party administrator as defined under § 23-92-201 in compliance with the Arkansas Insurance Code. (c) Nothing in this section shall be construed as preventing a health insurance purchasing group from serving as an administrative service organization to any entity. (d)(1) Each health insurance purchasing group shall collect and disseminate or arrange for the collection and dissemination of consumer-oriented information on the scope, cost, and enrollee satisfaction of all coverage options offered through the health insurance purchasing group to its members. (2) The information shall be defined by the health insurance purchasing group and shall be in a manner appropriate to the type of coverage offered. (3) To the extent practicable, the information shall include information on provider performance, locations, and hours of operation of providers, outcomes, and similar matters. (4) Nothing in this section shall be construed as preventing the dissemination of the information or other information by the health insurance purchasing group or by the healthcare insurer, health maintenance organization, or organization through electronic or other means. (e) The contract between a health insurance purchasing group and a health insurance purchasing group health carrier shall provide that the health insurance purchasing group may collect premiums on behalf of the issuer for coverage, less a predetermined administrative charge negotiated by the health insurance purchasing group and the issuer.

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Arkansas Code — all titles (historical 2020) · legal_authorities

23-92-201. Definition.

23-92-201. Definition. As used in this subchapter, “third-party administrator”: (1) Means a person, firm, or partnership that collects or charges premiums from or adjusts or settles claims on residents of this state in connection with life or accident and health coverage provided by a self-insured plan or a multiple-employer trust or multiple-employer-welfare arrangement; (2) Includes an administrative-services-only contract offered by insurers and health maintenance organizations; and (3) Does not include: (A) An employer, for its employees or for the employees of a subsidiary or affiliated corporation of the employer; (B) A union, for its members; (C) An insurer or health maintenance organization licensed to do business in this state; (D) A creditor, for its debtors, regarding insurance covering a debt between the creditor and its debtors; (E) A credit-card-issuing company that advances for, or collects premiums or charges from, its credit card holders, as long as that company does not adjust or settle claims; (F) An individual who adjusts or settles claims in the normal course of his or her practice or employment and who does not collect charges or premiums in connection with life or accident and health coverage; or (G) An agency licensed by the Insurance Commissioner and performing duties pursuant to an agency contract with an insurer authorized to do business in this state.

Source: Arkansas Code — historical release 78 (November 6, 2020) · 23-92-201

Stored review status: Historical 2020-11-06 source release; later amendments not reconciled; machine-extracted, not independently legally reviewed; source heading status: text_in_historical_source. The source passage cites 23-92-201. This identifies an authority to review, not proof of applicability.