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

Tex. Insurance Code § 843.259: NOTICE OF DECISION ON APPEAL.

Where this section sits in the code

INSURANCE CODE
TITLE 6. ORGANIZATION OF INSURERS AND RELATED ENTITIES
SUBTITLE C. LIFE, HEALTH, AND ACCIDENT INSURERS AND RELATED ENTITIES
CHAPTER 843. HEALTH MAINTENANCE ORGANIZATIONS
SUBCHAPTER G. DISPUTE RESOLUTION

(a) A health maintenance organization shall include in a notice of the final decision on an appeal a statement of the specific medical determination, clinical basis, and contractual criteria used to reach the final decision.

(b) The notice must include the toll-free telephone number and address of the department.

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

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

Browse this collection