Indiana bulletin on ownership reporting for insurers, TPAs, PBMs

Indiana Department of lnsurance June 26, 2025 Bulletin 279 REPORTING OF OWNERSHIP INFORMATION - SECOND NOTICE This bulletin is directed to all insurers, third party administrators ("TPAs"), and pharmacy benefit managers ("PBMs"), as defined in Public Law 239-2025 (HEA 1666), doing business in Indiana. The purpose of this bulletin is to notify insurers, TPAs, and PBMs of new reporting requirements set forth in Pub. L. 239-2025. Pursuant to Pub. L. 239-2025, beginning July 1, 2025, and each July 1 thereafter, each insurer, TPA, and PBM doing business in Indiana shall file with the Department a report that includes the following information: (1) The name of each person or entity that has: (A) an ownership interest of at least five percent (5%); (B) a controlling interest; or (C) an interest as a private equity partner; in the insurer, TPA, or PBM. (2) The business address of each person or entity identified in item (1), above. The business address must include a: (A) building number; (B) street name; (C) city name; (D) ZIP code; and (E) count1y name. The business address may not include a post office box number. (3) The business website, if applicable, of each person or entity identified in item (1), above. (4) Any of the following identification numbers, if applicable, for a person or entity identified under item (1), above: (A) National provider identifier (NPI). (B) Taxpayer identification number (TIN). (C) Employer identification number (EIN). (D) CMS certification number (CCN). (E) National Association of lnsurance Commissioners (NAIC) identification number. (F) A personal identification number associated with a license issued by the department of insurance. (5) The ownership stake of each person or entity identified under item (1), above.

A report provided under IC 27-1-4.5-5(a) may not include Social Security numbers of any individual. The Department may assess a fine of one thousand dollars ($1,000) per day for which a report is past due and the Department may take disciplinary action for repeat violations. The Department is providing a grace period for IC 27-1-4.5 reports due beginning July 1, 2025, while the form and manner for submission is established but will assess a fine pursuant to IC 27-1-4.5- 7 for late reports in 2026. This is the second of two (2) Bulletins being issued notifying insurers, TPAs, and PBMs of these new reporting requirements. Access to the report can be found on the Department's website under the Resources tab, as well as the following links: https://in.accessgov.com/idoi/Forms/Page/idoi/healthcare-ownership-information-reporting-form or https://www.in.gov/idoi/insurance-laws-rules-and-bulletins/hea-1666-healthcare-ownership- information-reporting/ Questions regarding this Bulletin should be directed to compliance@idoi.in.gov. INDIANA DEPARTMENT OF INSURANCE Holly W. Lambert, Insurance Commissioner