2009 Iowa Code
Title 13 - Commerce
Subtitle 1 - Insurance and Related Regulation
CHAPTER 509 - GROUP INSURANCE
509.19 - CLAIMS AND PREMIUM DISCLOSURE.

        509.19  CLAIMS AND PREMIUM DISCLOSURE.
         1. a.  A person issuing a policy or contract providing group
      health benefit coverages to a group of fifty-one or more eligible
      employees as defined in chapter 513B shall provide to the
      policyholder, contract holder, or sponsor of the group health benefit
      plan, upon request, annually, but not more than three months prior to
      the policy renewal date, the total amount of actual claims identified
      as paid or incurred and paid, and the total amount of premiums by
      line of coverage.  If premiums are not billed for each line of
      coverage, it is not necessary to artificially separate premiums for
      each line of coverage and will be acceptable to supply total premiums
      for the period.
         b.  For purposes of this section, "line of coverage"
      includes medical, prescription drug card program, dental, vision,
      long-term disability, and short-term disability.
         c.  The information required by paragraph "a" shall be
      provided by the carrier for two separate years, either policy years
      or rolling twelve-month periods.
         d.  The information required by paragraph "a" shall not
      disclose any confidential information or otherwise disclose the
      identity of an individual insured, subscriber, or enrollee, who has
      submitted a claim within the time frame of the report.
         2.  For purposes of this section, "person issuing a policy or
      contract providing group health benefit coverages" includes all of
      the following:
         a.  A person issuing a group policy of accident or health
      insurance pursuant to this chapter.
         b.  A person issuing a group contract of a nonprofit health
      service corporation pursuant to chapter 514.
         c.  A person issuing a group contract of a health maintenance
      organization pursuant to chapter 514B.
         d.  An organized delivery system authorized under 1993 Iowa
      Acts, ch. 158, licensed by the director of public health.
         e.  A multiple employer welfare arrangement, as defined in
      section 3 of the federal Employee Retirement Income Security Act of
      1974, 29 U.S.C. § 1002, paragraph 40, that meets the requirements of
      section 507A.4, subsection 9, paragraph "a".
         f.  A plan for public employees established pursuant to
      chapter 509A.
         g.  A person issuing or sponsoring an association group policy
      under section 509.14.  

         90 Acts, ch 1159, §1; 2002 Acts, ch 1111, §12; 2003 Acts, ch 91,
      §11