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Texas · Through 89th 2nd Called Legislative Session, 2025

Tex. Insurance Code § 4201.051: PERSONS PROVIDING INFORMATION ABOUT SCOPE OF COVERAGE OR BENEFITS.

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Where this section sits in the code
  1. INSURANCE CODE
  2. TITLE 14. UTILIZATION REVIEW AND INDEPENDENT REVIEW
  3. CHAPTER 4201. UTILIZATION REVIEW AGENTS
  4. SUBCHAPTER B. APPLICABILITY OF CHAPTER

This chapter does not apply to a person who:

(1) provides information to an enrollee about scope of coverage or benefits provided under a health insurance policy or health benefit plan; and

(2) does not determine whether a particular health care service provided or to be provided to an enrollee is:

(A) medically necessary or appropriate; or

(B) experimental or investigational.

Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.

Amended by:

Acts 2009, 81st Leg., R.S., Ch. 1330 (H.B. 4290), Sec. 8, eff. September 1, 2009.

Collected 2026-08-27T01:47:21Z. Source file · JSON

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