{"data":{"id":"us-tx/tex.-insurance-code-1272.063","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1272.063","heading":"ENROLLEE COMPLAINTS.","body":"(a) A delegation agreement required by Section 1272.052 must provide that:\n(1) if the delegated entity receives a complaint that does not involve emergency care, the entity shall report the complaint to the health maintenance organization not later than the second business day after the date the entity receives the complaint; and\n(2) if the delegated entity receives a complaint involving emergency care, the entity shall immediately forward the complaint to the health maintenance organization.\n(b) Subsection (a) does not prohibit a delegated entity from attempting to resolve a complaint.\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#1272.063","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"a6be1924166737aac944b7909810a9f77f7f2409e80a6a52cb48e0687f471588","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1272.062","next":"us-tx/tex.-insurance-code-1272.064"},"notice":"GroundRules: Original legal text. Not legal advice."}