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Notice Regarding Licensure of Prescription Drug Plans (PDPs) as Risk-Bearing Entities

Prescription Drug Plans seeking to offer prescription drug coverage under Medicare Part D to eligible beneficiaries in Idaho are required to be licensed as Limited Managed Care Organizations under Idaho Code, Title 41, Chapter 39.

Please refer to http://www.doi.idaho.gov/company/companyadmissions.aspx for general information about how to apply for a certificate of authority using the NAIC’s Uniform Certificate of Authority Application. Additional information for Managed Care Organizations can be found at http://www.doi.idaho.gov/company/addendum1.aspx.

If a PDP’s home state does not licensed the entity as an insurer, the PDP may seek admission as an Idaho domestic in order to operate in this state.

If you have further questions, please e-mail Carol Anderson or contact her at 208-334-4309.