{"data":{"id":"us-tx/tex.-insurance-code-1271.054","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1271.054","heading":"INFORMATION ABOUT COMPLAINTS AND APPEALS.","body":"(a) An evidence of coverage must contain a clear and understandable description of the health maintenance organization's methods for resolving enrollee complaints, including:\n(1) the enrollee's right to appeal denial of an adverse determination to an independent review organization; and\n(2) the procedures for appealing to an independent review organization.\n(b) A health maintenance organization may indicate a subsequent change to the methods for resolving enrollee complaints in a separate document issued to the enrollee.\nAdded by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE C. MANAGED CARE","CHAPTER 1271. BENEFITS PROVIDED BY HEALTH MAINTENANCE ORGANIZATIONS; EVIDENCE OF COVERAGE; CHARGES","SUBCHAPTER B. CONTENTS OF EVIDENCE OF COVERAGE"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1271.htm#1271.054","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"3fe762c29c7d5a660b5eca39d0b4d713bca6e62ff97083a940aa2b5d99af188b","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1271.053","next":"us-tx/tex.-insurance-code-1271.055"},"notice":"GroundRules: Original legal text. Not legal advice."}