Tex. Insurance Code § 1272.202
This is the official text of Tex. Insurance Code § 1272.202, part of Texas’s Insurance Code — regulates insurance companies and the policies they sell.
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§ 1272.202. NOTICE OF NONCOMPLIANCE OR HAZARDOUS OPERATING CONDITION.
Official statutory text
(a) If a health maintenance organization becomes aware of information that indicates a delegated entity with which the health maintenance organization has entered into a delegation agreement is not operating in accordance with the agreement or is operating in a condition that renders continuing the entity's business hazardous to the enrollees, the health maintenance organization shall in writing:
(1) notify the entity of those findings; and
(2) request a written explanation and documentation supporting that explanation of the entity's apparent noncompliance or the existence of the hazardous condition.
(b) A health maintenance organization shall provide to the commissioner a copy of each notice and request submitted to a delegated entity under this section and each response or other documentation the health maintenance organization receives or generates in response to the notice and request.
(1) notify the entity of those findings; and
(2) request a written explanation and documentation supporting that explanation of the entity's apparent noncompliance or the existence of the hazardous condition.
(b) A health maintenance organization shall provide to the commissioner a copy of each notice and request submitted to a delegated entity under this section and each response or other documentation the health maintenance organization receives or generates in response to the notice and request.
Status: in_force · Read it on the official government site
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