(a) A healthcare insurer shall not: (1) Lease, rent, or sell a healthcare contract or provider network of a health benefit plan to another healthcare insurer or third-party administrator; or (2) In any manner allow the use of a healthcare contract or provider network of a health benefit plan by another healthcare insurer or third-party administrator. (b) (1) A violation of this section is: (A) An unfair trade practice under § 23-66-206 ; and (B) Subject to the Trade Practices Act, § 23-66-201 et seq. (2) If a healthcare contract contains a provision that violates this section, then the provision under the healthcare contract is void. (c) This section does not apply if a healthcare insurer: (1) Grants access to the healthcare insurer's provider network contract to another healthcare insurer or entity that is: (A) An affiliate of the healthcare insurer; or (B) Operating according to the same brand licensee program as the healthcare insurer; or (2) Provides notice of the intent to lease, rent, or sell a healthcare contract or provider network of a health benefit plan to another healthcare insurer or third-party administrator; (3) Allows a healthcare provider that is a party to the healthcare contract or provider network of a health benefit plan the opportunity to opt out of participating in the: (A) Proposed lease, rental, or sale of a healthcare contract or provider network of a health benefit plan entirely upon the execution or renewal of the healthcare contract; and (B) Lease, rental, or sale of a healthcare contract with respect to an individual healthcare insurer or third-party administrator upon notice that the individual healthcare insurer or third-party administrator has violated the terms of the healthcare contract; and (4) Provides contact information for the healthcare insurer or third-party administrator using the healthcare contract or provider network of a health benefit plan, including without limitation: (A) Contact name; (B) Mailing address; (C) Direct telephone number for customer service matters; and (D) Direct email address for customer service matters. Added by Act 2023, No. 576,§ 5, eff. 8/1/2023. (a) A healthcare insurer shall not: (1) Lease, rent, or sell a healthcare contract or provider network of a health benefit plan to another healthcare insurer or third-party administrator; or (2) In any manner allow the use of a healthcare contract or provider network of a health benefit plan by another healthcare insurer or third-party administrator. (b) (1) A violation of this section is: (A) An unfair trade practice under § 23-66-206 ; and (B) Subject to the Trade Practices Act, § 23-66-201 et seq. (2) If a healthcare contract contains a provision that violates this section, then the provision under the healthcare contract is void. (c) This section does not apply if a healthcare insurer: (1) Grants access to the healthcare insurer's provider network contract to another healthcare insurer or entity that is: (A) An affiliate of the healthcare insurer; or (B) Operating according to the same brand licensee program as the healthcare insurer; or (2) Provides notice of the intent to lease, rent, or sell a healthcare contract or provider network of a health benefit plan to another healthcare insurer or third-party administrator; (3) Allows a healthcare provider that is a party to the healthcare contract or provider network of a health benefit plan the opportunity to opt out of participating in the: (A) Proposed lease, rental, or sale of a healthcare contract or provider network of a health benefit plan entirely upon the execution or renewal of the healthcare contract; and (B) Lease, rental, or sale of a healthcare contract with respect to an individual healthcare insurer or third-party administrator upon notice that the individual healthcare insurer or third-party administrator has violated the terms of the healthcare contract; and (4) Provides contact information for the healthcare insurer or third-party administrator using the healthcare contract or provider network of a health benefit plan, including without limitation: (A) Contact name; (B) Mailing address; (C) Direct telephone number for customer service matters; and (D) Direct email address for customer service matters. Added by Act 2023, No. 576,§ 5, eff. 8/1/2023. (a) A healthcare insurer shall not: (1) Lease, rent, or sell a healthcare contract or provider network of a health benefit plan to another healthcare insurer or third-party administrator; or (2) In any manner allow the use of a healthcare contract or provider network of a health benefit plan by another healthcare insurer or third-party administrator. (b) (1) A violation of this section is: (A) An unfair trade practice under § 23-66-206 ; and (B) Subject to the Trade Practices Act, § 23-66-201 et seq. (2) If a healthcare contract contains a provision that violates this section, then the provision under the healthcare contract is void. (c) This section does not apply if a healthcare insurer: (1) Grants access to the healthcare insurer's provider network contract to another healthcare insurer or entity that is: (A) An affiliate of the healthcare insurer; or (B) Operating according to the same brand licensee program as the healthcare insurer; or (2) Provides notice of the intent to lease, rent, or sell a healthcare contract or provider network of a health benefit plan to another healthcare insurer or third-party administrator; (3) Allows a healthcare provider that is a party to the healthcare contract or provider network of a health benefit plan the opportunity to opt out of participating in the: (A) Proposed lease, rental, or sale of a healthcare contract or provider network of a health benefit plan entirely upon the execution or renewal of the healthcare contract; and (B) Lease, rental, or sale of a healthcare contract with respect to an individual healthcare insurer or third-party administrator upon notice that the individual healthcare insurer or third-party administrator has violated the terms of the healthcare contract; and (4) Provides contact information for the healthcare insurer or third-party administrator using the healthcare contract or provider network of a health benefit plan, including without limitation: (A) Contact name; (B) Mailing address; (C) Direct telephone number for customer service matters; and (D) Direct email address for customer service matters. Added by Act 2023, No. 576,§ 5, eff. 8/1/2023. (a) A healthcare insurer shall not: (1) Lease, rent, or sell a healthcare contract or provider network of a health benefit plan to another healthcare insurer or third-party administrator; or (2) In any manner allow the use of a healthcare contract or provider network of a health benefit plan by another healthcare insurer or third-party administrator. (1) Lease, rent, or sell a healthcare contract or provider network of a health benefit plan to another healthcare insurer or third-party administrator; or (2) In any manner allow the use of a healthcare contract or provider network of a health benefit plan by another healthcare insurer or third-party administrator. (b) (1) A violation of this section is: (A) An unfair trade practice under § 23-66-206 ; and (B) Subject to the Trade Practices Act, § 23-66-201 et seq. (2) If a healthcare contract contains a provision that violates this section, then the provision under the healthcare contract is void. (1) A violation of this section is: (A) An unfair trade practice under § 23-66-206 ; and (B) Subject to the Trade Practices Act, § 23-66-201 et seq. (A) An unfair trade practice under § 23-66-206 ; and (B) Subject to the Trade Practices Act, § 23-66-201 et seq. (2) If a healthcare contract contains a provision that violates this section, then the provision under the healthcare contract is void. (c) This section does not apply if a healthcare insurer: (1) Grants access to the healthcare insurer's provider network contract to another healthcare insurer or entity that is: (A) An affiliate of the healthcare insurer; or (B) Operating according to the same brand licensee program as the healthcare insurer; or (2) Provides notice of the intent to lease, rent, or sell a healthcare contract or provider network of a health benefit plan to another healthcare insurer or third-party administrator; (3) Allows a healthcare provider that is a party to the healthcare contract or provider network of a health benefit plan the opportunity to opt out of participating in the: (A) Proposed lease, rental, or sale of a healthcare contract or provider network of a health benefit plan entirely upon the execution or renewal of the healthcare contract; and (B) Lease, rental, or sale of a healthcare contract with respect to an individual healthcare insurer or third-party administrator upon notice that the individual healthcare insurer or third-party administrator has violated the terms of the healthcare contract; and (4) Provides contact information for the healthcare insurer or third-party administrator using the healthcare contract or provider network of a health benefit plan, including without limitation: (A) Contact name; (B) Mailing address; (C) Direct telephone number for customer service matters; and (D) Direct email address for customer service matters. (1) Grants access to the healthcare insurer's provider network contract to another healthcare insurer or entity that is: (A) An affiliate of the healthcare insurer; or (B) Operating according to the same brand licensee program as the healthcare insurer; or (A) An affiliate of the healthcare insurer; or (B) Operating according to the same brand licensee program as the healthcare insurer; or (2) Provides notice of the intent to lease, rent, or sell a healthcare contract or provider network of a health benefit plan to another healthcare insurer or third-party administrator; (3) Allows a healthcare provider that is a party to the healthcare contract or provider network of a health benefit plan the opportunity to opt out of participating in the: (A) Proposed lease, rental, or sale of a healthcare contract or provider network of a health benefit plan entirely upon the execution or renewal of the healthcare contract; and (B) Lease, rental, or sale of a healthcare contract with respect to an individual healthcare insurer or third-party administrator upon notice that the individual healthcare insurer or third-party administrator has violated the terms of the healthcare contract; and (A) Proposed lease, rental, or sale of a healthcare contract or provider network of a health benefit plan entirely upon the execution or renewal of the healthcare contract; and (B) Lease, rental, or sale of a healthcare contract with respect to an individual healthcare insurer or third-party administrator upon notice that the individual healthcare insurer or third-party administrator has violated the terms of the healthcare contract; and (4) Provides contact information for the healthcare insurer or third-party administrator using the healthcare contract or provider network of a health benefit plan, including without limitation: (A) Contact name; (B) Mailing address; (C) Direct telephone number for customer service matters; and (D) Direct email address for customer service matters. (A) Contact name; (B) Mailing address; (C) Direct telephone number for customer service matters; and (D) Direct email address for customer service matters.
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