Texas Insurance Code
Sections 2101–2400
- § 830.012ADMINISTRATIVE PENALTY
- § 831.0001APPLICABILITY AND PURPOSE
- § 831.0002DEFINITIONS
- § 831.0003DISCLOSURE REQUIRED
- § 831.0004LEVEL OF REPORTING
- § 831.0005REVIEW OF DISCLOSURE; REQUEST FOR ADDITIONAL INFORMATION
- § 831.0006SUBSTANTIALLY SIMILAR INFORMATION
- § 831.0007PART OF EXAMINATION PROCESS
- § 831.0008CONTENTS OF DISCLOSURE
- § 831.0009CONFIDENTIALITY
- § 831.0010AUTHORITY OF COMMISSIONER NOT AFFECTED
- § 831.0011PRIVILEGE AND CONFIDENTIALITY NOT WAIVED
- § 831.0012NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS AND THIRD-PARTY CONSULTANTS
- § 831.0013ADMINISTRATIVE PENALTY
- § 831.0014RULES
- § 841.001DEFINITIONS
- § 841.002APPLICABILITY OF CHAPTER AND OTHER LAW
- § 841.003APPLICABILITY OF LAW GOVERNING CORPORATIONS
- § 841.004NET ASSETS DEFINED; RULES
- § 841.051FORMATION OF COMPANY
- § 841.052ARTICLES OF INCORPORATION
- § 841.053COMPANY NAME
- § 841.054CAPITAL STOCK AND SURPLUS REQUIREMENTS
- § 841.055SHARES OF STOCK
- § 841.056REQUIREMENTS FOR SHARES OF STOCK WITH PAR VALUE
- § 841.057REQUIREMENTS FOR SHARES OF STOCK WITHOUT PAR VALUE
- § 841.058APPLICATION FOR CHARTER
- § 841.059ACTION BY COMMISSIONER AND DEPARTMENT AFTER FILING
- § 841.061ACTION ON APPLICATION
- § 841.062BEGINNING OF CORPORATE EXISTENCE
- § 841.063ORGANIZATION MEETING
- § 841.101CERTIFICATE OF AUTHORITY REQUIRED
- § 841.102SCHEDULE OF ASSETS
- § 841.103ISSUANCE OF CERTIFICATE OF AUTHORITY
- § 841.104TAX PAYMENT REQUIRED FOR ISSUANCE OF CERTAIN CERTIFICATES OF AUTHORITY
- § 841.151CONDUCTING SHAREHOLDERS' MEETING
- § 841.152BOARD OF DIRECTORS
- § 841.153ELECTION OF DIRECTORS
- § 841.154STAGGERED TERMS FOR DIRECTORS
- § 841.155OFFICERS
- § 841.156AMENDMENT OF CHARTER OR ARTICLES
- § 841.201FORM OF REQUIRED CAPITAL AND SURPLUS
- § 841.202AUTHORIZED SHARES
- § 841.203COMPANY'S REPURCHASE OF STOCK
- § 841.204EXEMPTION FROM REQUIRED INCREASE OF CAPITAL AND SURPLUS
- § 841.205COMMISSIONER MAY REQUIRE LARGER CAPITAL AND SURPLUS AMOUNTS
- § 841.206IMPAIRMENT OF CAPITAL AND SURPLUS
- § 841.207ACTIONS OF COMMISSIONER WHEN CAPITAL AND SURPLUS REQUIREMENTS NOT SATISFIED
- § 841.251EVIDENCE OF EXPENDITURES
- § 841.252PAYMENTS TO OFFICERS, DIRECTORS, AND EMPLOYEES
- § 841.253LIFE INSURANCE COMPANY'S PAYMENT OF DIVIDENDS
- § 841.254TRANSFER OF STOCK
- § 841.255ANNUAL STATEMENT; FILING FEE
- § 841.256BUSINESS IN SEPARATE DEPARTMENTS OF DOMESTIC INSURANCE COMPANY
- § 841.257KINDS OF BUSINESS LIMITED
- § 841.258AGENTS FOR COMPANY THAT CEASES WRITING NEW BUSINESS
- § 841.259ACTIVITIES OF DIRECTORS AND OFFICERS
- § 841.260PROHIBITED COMMISSIONS
- § 841.261CAUSES OF ACTION
- § 841.301LIMITS ON AMOUNT OF ACCIDENT AND HEALTH INSURANCE POLICIES
- § 841.302LIMITS ON LIFE OR ACCIDENTAL DEATH INSURANCE
- § 841.303ENTIRE CONTRACT
- § 841.351DEPOSIT WITH COMPTROLLER
- § 841.352ISSUANCE OF RECEIPT FOR DEPOSIT
- § 841.353ADVERTISEMENT OF DEPOSIT
- § 841.354ACCESS TO DEPOSIT
- § 841.355WITHDRAWAL OF DEPOSIT AFTER MERGER, CONSOLIDATION, OR TOTAL REINSURANCE
- § 841.356SITUS OF DEPOSIT FOR TAX PURPOSES
- § 841.357MAINTENANCE OF DEPOSIT
- § 841.401PURPOSE
- § 841.402DEFINITIONS
- § 841.403ORGANIZATIONAL DOCUMENTS
- § 841.404CERTIFICATE OF AUTHORITY REQUIRED
- § 841.405APPLICATION FOR CERTIFICATE OF AUTHORITY
- § 841.406INVESTMENT OF CERTAIN SURPLUS BY ORGANIZING COMPANY
- § 841.407OFFICERS AND DIRECTORS
- § 841.408ISSUANCE OF CERTIFICATE OF AUTHORITY
- § 841.409SCOPE OF CERTIFICATE OF AUTHORITY
- § 841.410CAPITAL AND SURPLUS
- § 841.411FORECLOSURE ON COLLATERAL
- § 841.412MINIMUM AUTHORIZED INVESTMENT REQUIREMENT AFTER CREDIT FOR REINSURANCE; LETTERS OF CREDIT; GUARANTIES
- § 841.413PERMITTED REINSURANCE
- § 841.414REPORTS ON RESERVES AND RISK-BASED CAPITAL
- § 841.415OTHER LAWS NOT APPLICABLE
- § 841.416APPLICABILITY OF OTHER LAW
- § 841.417GUARANTY REQUIREMENTS
- § 841.418SUNSET PROVISION
- § 841.419CERTIFICATION OF ACTUARIAL OFFICER
- § 841.420ACCOUNTING AND FINANCIAL REPORTING
- § 841.701REVOCATION OF CERTIFICATE OF AUTHORITY
- § 841.702APPEAL OF DETERMINATION TO REVOKE CERTIFICATE
- § 841.703CERTIFICATE OF AUTHORITY VOID ON FAILURE TO SATISFY JUDGMENT
- § 841.704FALSE STATEMENT, REPORT, OR OTHER DOCUMENT; CRIMINAL PENALTY
- § 841.705PENALTY FOR FAILURE TO INVEST OR REPORT
- § 842.001DEFINITIONS
- § 842.002APPLICABILITY OF OTHER LAWS
- § 842.003CORPORATION SUBJECT TO REGULATION BY COMMISSIONER AND DEPARTMENT
- § 842.051APPLICATION FOR CORPORATE CHARTER; NONPROFIT STATUS REQUIRED
- § 842.052MINIMUM MEMBERSHIP REQUIREMENTS
- § 842.101ISSUANCE OF CERTIFICATE OF AUTHORITY
- § 842.151BOARD OF DIRECTORS
- § 842.152COMPENSATION OF DIRECTORS
- § 842.153BOARD MEETINGS
- § 842.154BOND REQUIREMENTS FOR CERTAIN OFFICERS AND EMPLOYEES
- § 842.155TREASURER'S BOND
- § 842.156COMPENSATION OF CERTAIN OFFICERS AND EMPLOYEES
- § 842.201ANNUAL STATEMENT; FILING FEE
- § 842.202RESERVE REQUIREMENTS
- § 842.203FINAL JUDGMENT DEPOSIT
- § 842.204INVESTMENT LIMITATIONS
- § 842.205INCURRED EXPENSES
- § 842.206MINIMUM SURPLUS REQUIREMENT
- § 842.207CONTRACTS; REINSURANCE; OTHER AGREEMENTS
- § 842.208BOOKS AND RECORDS
- § 842.209EXAMINATIONS
- § 842.210LIQUIDATION, REHABILITATION, OR CONSERVATION OF GROUP HOSPITAL SERVICE CORPORATION
- § 842.251PLAN OF OPERATION
- § 842.252MEMBERSHIP CERTIFICATE; CONTRACT
- § 842.253POLICY, CERTIFICATE, AND APPLICATION FORMS
- § 842.254DEPOSIT REQUIREMENTS
- § 842.255ADVANCE PAYMENTS TO HOSPITAL PROHIBITED
- § 842.256CONTRACTS WITH HEALTH CARE PROVIDERS
- § 842.257MAY LIMIT BENEFITS
- § 842.258LIMITATIONS ON CONTRACTS FOR MEDICAL SERVICES
- § 842.259USE OF INDEMNITY PLAN AUTHORIZED
- § 842.260PAYMENT OF CLAIM; PROOF OF CLAIM
- § 842.261INFORMATION AVAILABLE THROUGH INTERNET SITE
- § 842.301REVOCATION OF CERTIFICATE OF AUTHORITY
- § 843.001SHORT TITLE
- § 843.002DEFINITIONS
- § 843.003POWERS OF INSURERS AND GROUP HOSPITAL SERVICE CORPORATIONS
- § 843.004GOVERNING BODY OF HEALTH MAINTENANCE ORGANIZATION
- § 843.005USE OF INSURANCE-RELATED TERMS BY HEALTH MAINTENANCE ORGANIZATION
- § 843.006PUBLIC DOCUMENTS
- § 843.007CONFIDENTIALITY OF MEDICAL AND HEALTH INFORMATION
- § 843.008COSTS OF ADMINISTERING HEALTH MAINTENANCE ORGANIZATION LAWS
- § 843.009APPEALS; JUDICIAL REVIEW
- § 843.010APPLICABILITY OF CERTAIN PROVISIONS TO GOVERNMENTAL HEALTH BENEFIT PLANS
- § 843.051APPLICABILITY OF INSURANCE AND GROUP HOSPITAL SERVICE CORPORATION LAWS
- § 843.052LAWS RELATING TO SOLICITATION OR ADVERTISING
- § 843.053LAWS RELATING TO RESTRAINT OF TRADE
- § 843.054LAWS REQUIRING CERTIFICATE OF NEED FOR HEALTH CARE FACILITY OR SERVICE
- § 843.055LAWS RELATING TO PRACTICE OF MEDICINE
- § 843.056INAPPLICABILITY OF BANKRUPTCY LAW
- § 843.071CERTIFICATE OF AUTHORITY REQUIRED; USE OF "HEALTH MAINTENANCE ORGANIZATION" OR "HMO"
- § 843.072AUTHORIZATION REQUIRED TO ACT AS HEALTH MAINTENANCE ORGANIZATION
- § 843.073CERTIFICATE OF AUTHORITY REQUIREMENT: APPLICABILITY TO PHYSICIANS AND PROVIDERS
- § 843.074CERTIFICATE OF AUTHORITY REQUIREMENT: APPLICABILITY TO MEDICAL SCHOOL AND MEDICAL AND DENTAL UNIT
- § 843.075CERTIFICATE OF AUTHORITY FOR SINGLE HEALTH CARE SERVICE PLAN
- § 843.076APPLICATION
- § 843.077ELIGIBILITY OF FOREIGN CORPORATION
- § 843.078CONTENTS OF APPLICATION
- § 843.079CONTENTS OF APPLICATION: LIMITED HEALTH CARE SERVICE PLAN
- § 843.080MODIFICATION OR AMENDMENT OF APPLICATION INFORMATION
- § 843.082REQUIREMENTS FOR APPROVAL OF APPLICATION
- § 843.083DENIAL OF CERTIFICATE OF AUTHORITY
- § 843.084DURATION OF CERTIFICATE OF AUTHORITY
- § 843.085CHANGE IN CONTROL: COMMISSIONER APPROVAL
- § 843.101PROVIDING OR ARRANGING FOR CARE
- § 843.102HEALTH MAINTENANCE ORGANIZATION QUALITY ASSURANCE
- § 843.103ACQUISITION AND OPERATION OF FACILITIES; CERTAIN LOANS; COMMISSIONER APPROVAL OF AFFILIATE TRANSACTIONS
- § 843.104CONTRACTS FOR CERTAIN ADMINISTRATIVE FUNCTIONS
- § 843.105MANAGEMENT AND EXCLUSIVE AGENCY CONTRACTS
- § 843.106INSURANCE, REINSURANCE, INDEMNITY, AND REIMBURSEMENT
- § 843.107INDEMNITY BENEFITS; POINT-OF-SERVICE PROVISIONS
- § 843.108POINT-OF-SERVICE RIDER
- § 843.109PAYMENT BY GOVERNMENTAL OR PRIVATE ENTITY
- § 843.110CORPORATION, PARTNERSHIP, OR ASSOCIATION POWERS
- § 843.111GROUP MODEL HEALTH MAINTENANCE ORGANIZATIONS
- § 843.112DENTAL POINT-OF-SERVICE OPTION
- § 843.113SPECIFIED POWERS NOT EXCLUSIVE
- § 843.151RULES
- § 843.152SUBPOENA AUTHORITY
- § 843.153AUTHORITY TO CONTRACT
- § 843.154FEES
- § 843.155ANNUAL REPORT
- § 843.156EXAMINATIONS
- § 843.157REHABILITATION, LIQUIDATION, SUPERVISION, OR CONSERVATION OF HEALTH MAINTENANCE ORGANIZATION
- § 843.201DISCLOSURE OF INFORMATION ABOUT HEALTH CARE PLAN TERMS
- § 843.2015INFORMATION AVAILABLE THROUGH INTERNET SITE
- § 843.202DISCLOSURE OF INFORMATION TO MEDICARE RECIPIENTS
- § 843.203SELECTION OF PRIMARY CARE PHYSICIAN OR PROVIDER
- § 843.204UNTRUE OR MISLEADING INFORMATION
- § 843.205MEMBER'S HANDBOOK; INFORMATION ABOUT COMPLAINTS AND APPEALS
- § 843.206NOTICE OF CHANGE IN PAYMENT ARRANGEMENTS
- § 843.207NOTICE OF CHANGE IN OPERATIONS
- § 843.2071NOTICE OF INCREASE IN CHARGE FOR COVERAGE
- § 843.208CANCELLATION OR NONRENEWAL OF COVERAGE
- § 843.209IDENTIFICATION CARD
- § 843.210TERMS OF ENROLLEE ELIGIBILITY
- § 843.211APPLICABILITY OF SUBCHAPTER TO ENTITIES CONTRACTING WITH HEALTH MAINTENANCE ORGANIZATION
- § 843.251COMPLAINT SYSTEM REQUIRED; COMMISSIONER RULES AND EXAMINATION
- § 843.252COMPLAINT INITIATION AND INITIAL RESPONSE; DEADLINES FOR RESPONSE AND RESOLUTION
- § 843.253COMPLAINT INVESTIGATION AND RESOLUTION
- § 843.254APPEAL TO COMPLAINT APPEAL PANEL; DEADLINES
- § 843.255COMPOSITION OF COMPLAINT APPEAL PANEL
- § 843.256INFORMATION PROVIDED TO COMPLAINANT RELATING TO COMPLAINT APPEAL PANEL
- § 843.257RIGHTS OF COMPLAINANT AT COMPLAINT APPEAL PANEL MEETING
- § 843.258APPEAL INVOLVING ONGOING EMERGENCY OR CONTINUED HOSPITALIZATION
- § 843.259NOTICE OF DECISION ON APPEAL
- § 843.260RECORD OF COMPLAINTS
- § 843.261SPECIAL PROVISIONS FOR APPEALS OF ADVERSE DETERMINATIONS
- § 843.262CERTAIN DECISIONS BINDING
- § 843.281RETALIATORY ACTION PROHIBITED
- § 843.282SUBMITTING COMPLAINTS TO DEPARTMENT
- § 843.283POSTING OF INFORMATION ON COMPLAINT PROCESS REQUIRED
- § 843.301PRACTICE OF MEDICINE NOT AFFECTED
- § 843.302DISCLOSURE OF APPLICATION PROCEDURES AND QUALIFICATION REQUIREMENTS TO PHYSICIAN OR PROVIDER
- § 843.303DENIAL OF INITIAL CONTRACT TO PHYSICIAN OR PROVIDER
- § 843.304EXCLUSION OF PROVIDER BASED ON TYPE OF LICENSE PROHIBITED
- § 843.3041ACUPUNCTURIST SERVICES
- § 843.3042CHIROPRACTIC SERVICES
- § 843.3045NURSE FIRST ASSISTANT
- § 843.305ANNUAL APPLICATION PERIOD FOR PHYSICIANS AND PROVIDERS TO CONTRACT
- § 843.306TERMINATION OF PARTICIPATION; ADVISORY REVIEW PANEL
- § 843.307EXPEDITED REVIEW PROCESS ON TERMINATION OR DESELECTION
- § 843.308NOTIFICATION OF PATIENTS OF DESELECTED PHYSICIAN OR PROVIDER
- § 843.309CONTRACTS WITH PHYSICIANS OR PROVIDERS: NOTICE TO CERTAIN ENROLLEES OF TERMINATION OF PHYSICIAN OR PROVIDER PARTICIPATION IN PLAN
- § 843.310CONTRACTS WITH PHYSICIANS OR PROVIDERS: CERTAIN INDEMNITY CLAUSES PROHIBITED
- § 843.311CONTRACTS WITH PODIATRISTS
- § 843.3115CONTRACTS WITH DENTISTS
- § 843.312PHYSICIAN ASSISTANTS AND ADVANCED PRACTICE NURSES
- § 843.313ECONOMIC PROFILING
- § 843.314INDUCEMENT TO LIMIT MEDICALLY NECESSARY SERVICES PROHIBITED
- § 843.315PAYMENT OF CAPITATION; ASSIGNMENT OF PRIMARY CARE PHYSICIAN OR PROVIDER
- § 843.316ALTERNATIVE CAPITATION SYSTEM
- § 843.317EXCLUSION OF PHYSICIAN OR PROVIDER BASED ON AFFILIATION WITH HEALTH MAINTENANCE ORGANIZATION PROHIBITED
- § 843.318CERTAIN CONTRACTS OF PARTICIPATING PHYSICIAN OR PROVIDER NOT PROHIBITED
- § 843.319CERTAIN REQUIRED CONTRACTS
- § 843.320USE OF HOSPITALIST
- § 843.321AVAILABILITY OF CODING GUIDELINES
- § 843.322INCENTIVES TO USE CERTAIN PHYSICIANS OR PROVIDERS
- § 843.323CONTRACT PROVISIONS PROHIBITING REJECTION OF BATCHED CLAIMS
- § 843.336DEFINITION
- § 843.337TIME FOR SUBMISSION OF CLAIM; DUPLICATE CLAIMS; ACKNOWLEDGMENT OF RECEIPT OF CLAIM
- § 843.338DEADLINE FOR ACTION ON CLEAN CLAIMS
- § 843.3385ADDITIONAL INFORMATION
- § 843.339DEADLINE FOR ACTION ON PRESCRIPTION CLAIMS; PAYMENT
- § 843.340AUDITED CLAIMS
- § 843.3405INVESTIGATION AND DETERMINATION OF PAYMENT
- § 843.341CLAIMS PROCESSING PROCEDURES
- § 843.342VIOLATION OF CERTAIN CLAIMS PAYMENT PROVISIONS; PENALTIES
- § 843.343ATTORNEY'S FEES
- § 843.344APPLICABILITY OF SUBCHAPTER TO ENTITIES CONTRACTING WITH HEALTH MAINTENANCE ORGANIZATION
- § 843.345EXCEPTION
- § 843.346PAYMENT OF CLAIMS
- § 843.347VERIFICATION
- § 843.348PREAUTHORIZATION OF HEALTH CARE SERVICES
- § 843.3481POSTING OF PREAUTHORIZATION REQUIREMENTS
- § 843.3482CHANGES TO PREAUTHORIZATION REQUIREMENTS
- § 843.3483REMEDY FOR NONCOMPLIANCE
- § 843.349COORDINATION OF PAYMENT
- § 843.350OVERPAYMENT
- § 843.351SERVICES PROVIDED BY CERTAIN PHYSICIANS AND PROVIDERS
- § 843.352CONFLICT WITH OTHER LAW
- § 843.353WAIVER PROHIBITED
- § 843.354LEGISLATIVE DECLARATION
- § 843.361ENROLLEES HELD HARMLESS
- § 843.362CONTINUITY OF CARE; OBLIGATION OF HEALTH MAINTENANCE ORGANIZATION
- § 843.363PROTECTED PHYSICIAN OR PROVIDER COMMUNICATIONS WITH PATIENTS
- § 843.401FIDUCIARY RESPONSIBILITY
- § 843.402OFFICERS' AND EMPLOYEES' BOND
- § 843.403MINIMUM NET WORTH
- § 843.404ADDITIONAL NET WORTH REQUIREMENTS
- § 843.405DEPOSIT WITH COMPTROLLER
- § 843.406HAZARDOUS FINANCIAL CONDITION
- § 843.407RECEIVERSHIP AND DELINQUENCY PROCEEDINGS
- § 843.408INSOLVENCY AND ALLOCATION TO OTHER HEALTH MAINTENANCE ORGANIZATIONS
- § 843.409EXAMINATION EXPENSES
- § 843.410ASSESSMENTS
- § 843.461ENFORCEMENT ACTIONS
- § 843.462OPERATIONS DURING SUSPENSION OR AFTER REVOCATION OF CERTIFICATE OF AUTHORITY
- § 843.463INJUNCTIONS
- § 843.464CRIMINAL PENALTY
- § 844.001DEFINITIONS
- § 844.002EXCEPTIONS
- § 844.003EXCEPTIONS TO TEXAS HEALTH MAINTENANCE ORGANIZATION ACT
- § 844.004RULES
- § 844.005PROVISION OF CERTAIN SERVICES ON BEHALF OF HEALTH MAINTENANCE ORGANIZATIONS
- § 844.051CERTIFICATE OF AUTHORITY REQUIRED
- § 844.052CERTIFICATE APPLICATION; ELIGIBILITY REQUIREMENTS
- § 844.053PROVISIONAL CERTIFICATE OF AUTHORITY
- § 844.054POWERS AND DUTIES OF CERTIFICATE HOLDER
- § 844.101UNFAIR COMPETITION
- § 845.001SHORT TITLE
- § 845.002DEFINITIONS
- § 845.003RURAL AREA DESIGNATION
- § 845.004RULES
- § 845.051STATEWIDE RURAL HEALTH CARE SYSTEM
- § 845.052ORGANIZATION REQUIREMENTS
- § 845.053REQUIREMENTS APPLICABLE TO CERTAIN PLANS
- § 845.054LOCAL GOVERNMENT
- § 845.055PROVISION OF ADMINISTRATIVE AND HEALTH CARE SERVICES
- § 845.056GIFTS AND GRANTS
- § 845.057LIMITATION ON AUTHORITY OF PARTICIPATING HOSPITAL PROVIDERS
- § 845.058SALE OR DISSOLUTION OF SYSTEM
- § 845.101APPOINTMENT OF BOARD
- § 845.102TERMS; VACANCY
- § 845.103REMOVAL OF CERTAIN BOARD MEMBERS
- § 845.104BOARD DUTIES