Texas Insurance Code

§ 843.205 — MEMBER'S HANDBOOK; INFORMATION ABOUT COMPLAINTS AND APPEALS

IN § 843.205Title 6. ORGANIZATION OF INSURERS AND RELATED ENTITIES · Part C. LIFE, HEALTH, AND ACCIDENT INSURERS AND RELATED ENTITIES · Ch. 843. HEALTH MAINTENANCE ORGANIZATIONS · Art. F. RELATIONS WITH ENROLLEES AND GROUP CONTRACT HOLDERS

Statute text

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(a)In this section, "major population" means a group constituting 10 percent or more of the enrolled population of the health maintenance organization.

(b)A health maintenance organization shall establish procedures to:

(1)provide to an enrollee a member handbook and materials relating to the complaint and appeals process in the languages of the major populations of the enrolled population; and

(2)provide access to a member handbook and the complaint and appeals process to an enrollee who has a disability that affects the enrollee's ability to communicate or read.

Legislative history

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