{"data":{"id":"us-tx/tex.-insurance-code-1301.109","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1301.109","heading":"APPLICABILITY TO ENTITIES CONTRACTING WITH INSURER.","body":"This subchapter applies to a person, including a pharmacy benefit manager, with whom an insurer contracts to:\n(1) process or pay claims;\n(2) obtain the services of physicians and health care providers to provide health care services to insureds; or\n(3) issue verifications or preauthorizations.\nAdded by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.\nAmended by:\nActs 2005, 79th Leg., Ch. 728 (H.B. 2018), Sec. 11.037(a), eff. September 1, 2005.\nActs 2011, 82nd Leg., R.S., Ch. 798 (H.B. 2292), Sec. 11, eff. September 1, 2011.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE D. PROVIDER PLANS","CHAPTER 1301. PREFERRED PROVIDER BENEFIT PLANS","SUBCHAPTER C. PROMPT PAYMENT OF CLAIMS"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1301.htm#1301.109","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"730976b915857c54b6a5b8ccee123eb8e71e1f50cce671fa1c0931a3c6c7d4b7","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1301.108","next":"us-tx/tex.-insurance-code-1301.131"},"notice":"GroundRules: Original legal text. Not legal advice."}