Filing Requirements For Annual Reporting on Pricing and Profit with Respect to Pharmacy Benefit Managers and Mail-Order Pharmacies

STATE OF CONNECTICUT INSURANCE DEPARTMENT www.ct.gov/cid P.O. Box 816 Hartford, CT 06142-0816 Affirmative Action/Equal Employment Opportunity Employer BULLETIN NO. HC-134 May 6, 2026 TO: All Health Carriers Providing a Plan of Health Insurance, Health Benefits or Health Care Services in Connecticut. RE: Filing Requirements For Annual Reporting on Pricing and Profit with Respect to Pharmacy Benefit Managers and Mail-Order Pharmacies Pursuant to section 38a-479uuu of the Connecticut General Statutes, the Insurance Commissioner (“Commissioner”) shall require health carriers1 to report annually on the pricing that is in effect and profit generated between each health carrier and any pharmacy benefits manager or mail-order pharmacy doing business with such health carrier (collectively the “Annual Report on Pricing and Profit”), provided such information is reasonably available. Health carriers are required to submit the initial Annual Report on Pricing and Profit by April 1, 2027, which report shall include data for the prior calendar year (i.e., January 1, 2026, through December 31, 2026), and annually thereafter by April 1. Additional information and submission requirements can be found in the Surveys section on the Department’s Forms & Applications website page. Please contact the Insurance Department Life & Health Division at LHCompliance@ct.gov with any questions. Josh Hershman Insurance Commissioner 1 For purposes of this bulletin, the following definition of health carrier as provided by Connecticut General Statutes § 38a-591a(25) applies: an entity subject to the insurance laws and regulations of this state or subject to the jurisdiction of the commissioner, that contracts or offers to contract to provide, deliver, arrange for, pay for or reimburse any of the costs of health care services, including a sickness and accident insurance company, a health care center, a managed care organization, a hospital service corporation, a medical service corporation or any other entity providing a plan of health insurance, health benefits or health care services.