Texas Administrative Code


TITLE 28INSURANCE
PART 1TEXAS DEPARTMENT OF INSURANCE
CHAPTER 3LIFE, ACCIDENT, AND HEALTH INSURANCE AND ANNUITIES
SUBCHAPTER XPREFERRED AND EXCLUSIVE PROVIDER PLANS

Rules

§3.3701 Applicability and Scope
§3.3702 Definitions
§3.3703 Contracting Requirements
§3.3704 Freedom of Choice; Availability of Preferred Providers
§3.3705 Nature of Communications with Insureds; Readability, Mandatory Disclosure Requirements, and Plan Designations
§3.3706 Designation as a Preferred Provider, Decision to Withhold Designation, Termination of a Preferred Provider, Review of Process
§3.3707 Waiver Due to Failure to Contract in Local Markets
§3.3708 Payment of Certain Basic Benefit Claims and Related Disclosures
§3.3709 Annual Network Adequacy Report
§3.3710 Failure to Provide an Adequate Network
§3.3711 Geographic Regions
§3.3720 Exclusive Provider Benefit Plan Requirements
§3.3721 Exclusive Provider Benefit Plan Network Approval Required
§3.3722 Application for Exclusive Provider Benefit Plan Approval; Qualifying Examination; Network Modifications
§3.3723 Examinations
§3.3724 Quality Improvement Program
§3.3725 Payment of Certain Out-of-Network Claims


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