Tex. Insurance Code § 1305.403: RECORD OF COMPLAINTS.
Where this section sits in the code
- INSURANCE CODE
- TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES
- SUBTITLE D. PROVIDER PLANS
- CHAPTER 1305. WORKERS' COMPENSATION HEALTH CARE NETWORKS
- SUBCHAPTER I. COMPLAINT RESOLUTION
(a) Each network shall maintain a complaint and appeal log regarding each complaint. The commissioner shall adopt rules designating the classification of network complaints under this section.
(b) Each network shall maintain a record of and documentation on each complaint, complaint proceeding, and action taken on the complaint until the third anniversary of the date the complaint was received.
(c) A complainant is entitled to a copy of the network's record regarding the complaint and any proceeding relating to that complaint.
(d) The department, during any investigation or examination of a network, may review documentation maintained under this subchapter, including original documentation, regarding a complaint and action taken on the complaint.
Added by Acts 2005, 79th Leg., Ch. 265 (H.B. 7), Sec. 4.02, eff. September 1, 2005.
Collected 2026-08-27T01:47:21Z. Source file · JSON