Tex. Ins. Code § 1369.153 · Subchapter D. PHARMACY BENEFIT CARDS
INFORMATION REQUIRED ON IDENTIFICATION CARD.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) An issuer of a health benefit plan that provides pharmacy benefits to enrollees shall include on the front of the identification card of each enrollee:
(1) the name of the entity administering the pharmacy benefits if the entity is different from the health benefit plan issuer;
(2) the group number applicable to the enrollee;
(3) the identification number of the enrollee, which may not be the enrollee's social security number;
(4) the bank identification number necessary for electronic billing;
(5) the effective date of the coverage evidenced by the card; and
(6) copayment information for generic and brand-name prescription drugs.
(b) In addition to the information required under Subsection (a), the issuer of a health benefit plan shall include on the identification card of each enrollee:
(1) the logo of the entity administering the pharmacy benefits if the entity is different from the health benefit plan issuer; and
(2) a telephone number for contacting an appropriate person to obtain information relating to the pharmacy benefits provided under the plan.
(c) In addition to complying with Subsections (a) and (b), an issuer of a health benefit plan may provide the information required under Subsections (a) and (b) in electronically readable form on the back of the identification card.
(d) This section does not require a health benefit plan issuer that administers its own pharmacy benefits to issue an identification card separate from any identification card issued to an enrollee to evidence coverage under the plan if the identification card issued to evidence coverage contains the information required by Subsections (a) and (b).
(e) A group number on an identification card provided to an enrollee in a health benefit plan to which this subchapter applies may be assigned only to enrollees in a health benefit plan to which this subchapter applies.
Notes and commentary — not statutory text
History
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Amended by:
Acts 2009, 81st Leg., R.S., Ch. 1117 (H.B. 1138), Sec. 2, eff. September 1, 2009.
Acts 2025, 89th Leg., R.S., Ch. 183 (S.B. 1236), Sec. 1, eff. September 1, 2025.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1369.htm
- Text hash
- sha256 ad61b2dcaa0c0a6c90cd6b4c38837777e4786a728fbe87639f385812c563dd34
- Composed by
- compose_tx.py 2026-10-05: the Legislative Council's chapter files read in document order; verify_tx.py's independent reading (lxml DOM walk) agrees character for character
Cited by 1 provision
Provisions in this library whose text cites Tex. Ins. Code § 1369.153. Each shows the citation as that text prints it.
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