(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.
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