Tex. Insurance Code § 1272.063
This is the official text of Tex. Insurance Code § 1272.063, part of Texas’s Insurance Code — regulates insurance companies and the policies they sell.
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§ 1272.063. ENROLLEE COMPLAINTS.
Official statutory text
(a) A delegation agreement required by Section 1272.052 must provide that:
(1) if the delegated entity receives a complaint that does not involve emergency care, the entity shall report the complaint to the health maintenance organization not later than the second business day after the date the entity receives the complaint; and
(2) if the delegated entity receives a complaint involving emergency care, the entity shall immediately forward the complaint to the health maintenance organization.
(b) Subsection (a) does not prohibit a delegated entity from attempting to resolve a complaint.
(1) if the delegated entity receives a complaint that does not involve emergency care, the entity shall report the complaint to the health maintenance organization not later than the second business day after the date the entity receives the complaint; and
(2) if the delegated entity receives a complaint involving emergency care, the entity shall immediately forward the complaint to the health maintenance organization.
(b) Subsection (a) does not prohibit a delegated entity from attempting to resolve a complaint.
Status: in_force · Read it on the official government site
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