Upon request from a policyholder with more than twenty-five (25) insured employees under a comprehensive health insurance policy, any insurer issuing or delivering group accident and health insurance policies in this state shall provide to the policyholder the following information for the most recent twelve-month period or for the entire period of coverage, whichever is shorter:
(1) Claims incurred by month;
(2) Premiums paid by month;
(3) Number of insureds to include dependents by month; and
(4) Claims exceeding ten thousand dollars ($10,000) on any individual with diagnosis during the same period.