Shown verbatim: the complete text as captured from the official PDF posted by the Arkansas General Assembly, fetched 2026-07-23. Page and line markers are part of the official record; nothing is edited or removed. The official bill page.
Stricken language would be deleted from and underlined language would be added to present law.
1 State of Arkansas As Engrossed: S4/7/25
2 95th General Assembly
A Bill
3 Regular Session, 2025 HOUSE BILL 1771
4
5 By: Representative Perry
6 By: Senator R. Murdock
7
8 For An Act To Be Entitled
9 AN ACT TO AMEND THE LAW CONCERNING DISCLOSURES TO
10 POLICYHOLDERS; TO REQUIRE MONTHLY REPORTING BY
11 INSURERS; AND FOR OTHER PURPOSES.
12
13
14 Subtitle
15 TO AMEND THE LAW CONCERNING DISCLOSURES
16 TO POLICYHOLDERS; AND TO REQUIRE MONTHLY
17 REPORTING BY INSURERS.
18
19 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS:
20
21 SECTION 1. Arkansas Code � 23-86-119 is amended to read as follows:
22 23-86-119. Disclosure to policyholders.
23 (a)(1) Upon request from a policyholder with more than twenty-five
24 (25) fifty (50) insured employees under a comprehensive group health
25 insurance policy, any an insurer issuing or delivering a group accident and
26 health insurance policies policy in this state shall provide to the
27 policyholder the following information for the most recent twelve-month
28 period or for the entire period of coverage, whichever is shorter:
29 (A)(i) A monthly premium, claims, and enrollment report.
30 (ii) A monthly premium, claims, and enrollment
31 report required under subdivision (a)(1)(A)(i) of this section shall include
32 without limitation:
33 (1)(a) Claims incurred Medical claims on a
34 paid basis by month;
35 (b) Pharmacy claims on a paid basis by month;
36 (2)(c) Premiums paid by month; and
*ANS337* 04-07-2025 17:24:30 ANS337
As Engrossed: S4/7/25 HB1771
1 (3)(d) Number Total number of insureds to
2 include dependents enrolled members, including dependents by month; and
3 (4) Claims exceeding ten thousand dollars
4 ($10,000) on any individual with diagnosis during the same period.
5 (B)(i) A high-cost claimant report that is applicable to
6 an enrolled member with claims exceeding ten thousand dollars ($10,000).
7 (ii) A high-cost claimant report required under
8 subdivision (a)(1)(B)(i) of this section shall include for each enrolled
9 member:
10 (a) Current coverage status, either active or
11 terminated;
12 (b) Total medical claims on a paid basis by
13 month; and
14 (c) Total pharmacy claims on a paid basis by
15 month.
16 (2) A report required under subdivision (a)(1)(A)(i) or
17 subdivision (a)(1)(B)(i) of this section shall be provided to the
18 policyholder no later than thirty (30) days from the date of the request of
19 the policyholder.
20 (3) A policyholder may request reporting under this section no
21 more frequently than on a quarterly basis.
22 (b) This section does not require the insurer to disclose any
23 information that is required by law to be confidential.
24 (c) As used in this section, "enrolled member":
25 (1) Means an insured employee under a comprehensive group health
26 insurance policy; and
27 (2) Includes a subscriber or a certificate holder.
28 (d) In conformity with the Health Insurance Portability and
29 Accountability Act of 1996, Pub. L. No. 104-191, this section does not
30 require an insurer or health maintenance organization to disclose any claims
31 information or data that reasonably, or by reasonable inference, may reveal
32 the identity of an enrolled member under the standards of the Health
33 Insurance Portability and Accountability Act of 1996, Pub. L. No. 104-191.
34
35 /s/Perry
36
2 04-07-2025 17:24:30 ANS337Every fact on this page links to its source, starting with the official bill record.