Tex. Insurance Code § 4151.0021: APPLICABILITY TO CERTAIN PROCESSING AGENTS.
Where this section sits in the code
- INSURANCE CODE
- TITLE 13. REGULATION OF PROFESSIONALS
- SUBTITLE D. OTHER PROFESSIONALS
- CHAPTER 4151. THIRD-PARTY ADMINISTRATORS
- SUBCHAPTER A. GENERAL PROVISIONS
(a) In this section, "processing agent" means a person described by Section 413.0111, Labor Code.
(b) A processing agent is not an administrator for purposes of this chapter if the processing agent is acting as an assignee of a pharmacy and if:
(1) the assignee has a written contract with the pharmacy to:
(A) act as the provider of licensed pharmacy services in lieu of the pharmacy; and
(B) purchase the pharmacy's claims at face value, or at a value expressly stated in the contract; and
(2) the contract specifically prohibits the assignee from performing any function of an administrator, as that term is defined in this chapter, unless the assignee holds a certificate of authority under this chapter.
Added by Acts 2007, 80th Leg., R.S., Ch. 1176 (H.B. 472), Sec. 1.03, eff. September 1, 2007.
Collected 2026-08-27T01:47:21Z. Source file · JSON