Tex. Insurance Code § 843.205
This is the official text of Tex. Insurance Code § 843.205, part of Texas’s Insurance Code — regulates insurance companies and the policies they sell.
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§ 843.205. MEMBER'S HANDBOOK; INFORMATION ABOUT COMPLAINTS AND APPEALS.
Official statutory text
(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.
(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.
Status: in_force · Read it on the official government site
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