Texas Insurance Code

§ 843.105 — MANAGEMENT AND EXCLUSIVE AGENCY CONTRACTS

IN § 843.105Title 6. ORGANIZATION OF INSURERS AND RELATED ENTITIES · Part C. LIFE, HEALTH, AND ACCIDENT INSURERS AND RELATED ENTITIES · Ch. 843. HEALTH MAINTENANCE ORGANIZATIONS · Art. D. GENERAL POWERS AND DUTIES OF HEALTH MAINTENANCE ORGANIZATIONS

Statute text

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(a)A health maintenance organization may not enter into a management contract or exclusive agency contract unless the proposed contract is first filed with and approved by the commissioner.

(b)The commissioner must approve or disapprove the contract not later than the 30th day after the date the contract is filed or within a reasonable extended period that the commissioner specifies by notice given within the 30-day period.

(c)The commissioner shall disapprove the proposed contract if the commissioner determines that the contract:

(1)subjects the health maintenance organization to excessive charges;

(2)extends for an unreasonable time;

(3)does not contain fair and adequate standards of performance;

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Legislative history

Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.