{"data":{"id":"us-tx/tex.-insurance-code-1272.053","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1272.053","heading":"MONITORING PLAN.","body":"A delegation agreement required by Section 1272.052 must establish a monitoring plan that:\n(1) allows the health maintenance organization to monitor compliance with the minimum solvency requirements established under Subchapter D, if applicable; and\n(2) includes:\n(A) a description of financial practices that will ensure that the delegated entity tracks and reports liabilities that have been incurred but not reported;\n(B) a summary of the total amount paid by the entity to physicians and providers on a monthly basis; and\n(C) a summary of complaints from physicians, providers, and enrollees regarding delays in payment or nonpayment of claims, including the status of each complaint, on a monthly basis.\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 1272. DELEGATION OF CERTAIN FUNCTIONS BY HEALTH MAINTENANCE ORGANIZATION","SUBCHAPTER B. DELEGATION AGREEMENTS"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1272.htm#1272.053","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"c78c9ad166ba96a5354fd3fc3f6bd92537e4fce7a307e7036f104d31dded684b","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1272.052","next":"us-tx/tex.-insurance-code-1272.054"},"notice":"GroundRules: Original legal text. Not legal advice."}