SECTION 21.3004. Issuance of Standard Identification Cards

(a) An issuer of a health benefit plan, or an administrator or pharmacy benefit manager, is not required to issue a standard identification card in addition to an enrollee identification card if:

(1) the enrollee identification card contains the information required by §21.3003(b) and (c) of this title (relating to Standard Identification Cards); and

(2) the enrollee identification card is issued in accordance with §21.3003(a) of this title and subsections (c) and (d) of this section.

(b) Under subsection (a) of this section, if a standard identification card is required to be issued, and an administrator or pharmacy benefit manager administers a health benefit plan of an issuer, the administrator or pharmacy benefit manager and the issuer must enter into an agreement as to which entity will issue the standard identification card in accordance with this subchapter.

(c) If an administrator or pharmacy benefit manager for a health benefit plan is designated or required to issue a standard identification card, the administrator or pharmacy benefit manager must issue the standard identification card in accordance with this subchapter not later than the 30th calendar day after the date the administrator or pharmacy benefit manager receives notice from the issuer or the health benefit plan that the enrollee is eligible for the pharmacy benefits.

(d) If the issuer of a health benefit plan is required to issue a standard identification card, the issuer of the health benefit plan must issue the standard identification card in accordance with this subchapter not later than the 30th calendar day after the enrollee is eligible for pharmacy benefits.

Source Note: The provisions of this §21.3004 adopted to be effective December 20, 2000, 25 TexReg 12441; amended to be effective August 18, 2016, 41 TexReg 6035