An insured large plan may elect the full report each year
What the document says“such group health plan may, on an annual basis, for plan years beginning on or after the date that is 30 months after the date of enactment of this section, elect to require an entity providing pharmacy benefit management services on behalf of the health insurance issuer to submit to such group health plan a report that includes all of the information described in paragraph (2)(A), in addition to the information described in paragraph (2)(B).”
Where coverage is offered through an insurance issuer in connection with a plan of a specified large employer or a specified large plan, the plan may elect each year to require the full report, adding the detailed information to the summary information every plan receives.
What the document actually says“such group health plan may, on an annual basis, for plan years beginning on or after the date that is 30 months after the date of enactment of this section, elect to require an entity providing pharmacy benefit management services on behalf of the health insurance issuer to submit to such group health plan a report that includes all of the information described in paragraph (2)(A), in addition to the information described in paragraph (2)(B).”
Each year such a plan may choose to ask for more. It may require the full report on top of the short one.
A plan that buys coverage through an insurer gets only the short report by default. This lets it ask for the long one.
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