; and (bb) as applicable, information collected from drug manufacturers by such issuer or entity on the total amount of copayment assistance dollars paid, or copayment cards applied, that were funded by applicable drug manufacturers with respect to the participants and beneficiaries in such plan, except that such information shall not identify any drug manufacturer. (iii) Required reporting for covered group health insurance coverage Each health insurance issuer that offers covered group health insurance coverage shall annually submit to the plan sponsor the information described in paragraph (1)(I), regardless of whether the plan sponsor made the election described in clause (i) for the applicable year. (iv) Required reporting for other group health insurance coverage Each health insurance issuer that offers group health insurance coverage that is not covered group health insurance shall annually submit a summary document that includes such information described in items (aa) and (bb) of clause (ii)(II) as the Secretary and the Secretary of Labor determine useful for plan sponsors for purposes of selecting pharmacy benefit management services, provided that such summary documents include only aggregate information. (4) Privacy requirements (A) Relationship to HIPAA regulations Nothing in this section shall be construed to modify the requirements for the creation, receipt, maintenance, or transmission of protected health information under the HIPAA privacy regulations, as defined in section 1180(b)(3) of the Social Security Act. (B) Requirement A report submitted under paragraph (1) or (3) shall contain only summary health information, as defined in section 164.504(a) of title 45, Code of Federal Regulations (or successor regulations). (C) Clarification regarding certain disclosures of information (i) Reasonable restrictions Nothing in this section prevents a health insurance issuer offering group health insurance coverage or an entity providing pharmacy benefit management services on behalf of a group health