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

Tex. Insurance Code § 843.205: MEMBER'S HANDBOOK; INFORMATION ABOUT COMPLAINTS AND APPEALS.

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Where this section sits in the code
  1. INSURANCE CODE
  2. TITLE 6. ORGANIZATION OF INSURERS AND RELATED ENTITIES
  3. SUBTITLE C. LIFE, HEALTH, AND ACCIDENT INSURERS AND RELATED ENTITIES
  4. CHAPTER 843. HEALTH MAINTENANCE ORGANIZATIONS
  5. SUBCHAPTER F. RELATIONS WITH ENROLLEES AND GROUP CONTRACT HOLDERS

(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.

Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.

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

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