{"data":{"id":"us-tx/tex.-insurance-code-1301.160","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1301.160","heading":"NOTIFICATION OF TERMINATION OF PARTICIPATION OF PREFERRED PROVIDER.","body":"(a) If a practitioner's participation in a preferred provider benefit plan is terminated for a reason other than at the practitioner's request, an insurer may not notify insureds of the termination until the later of:\n(1) the effective date of the termination; or\n(2) the time at which a review panel makes a formal recommendation regarding the termination.\n(b) A physician or health care provider that voluntarily terminates the physician's or provider's participation in a preferred provider benefit plan shall provide reasonable notice to each insured under the physician's or provider's care. The insurer shall provide assistance to the physician or provider in ensuring that the notice requirements of this subsection are met.\n(c) If a practitioner's participation in a preferred provider benefit plan is terminated for reasons related to imminent harm, an insurer may notify insureds immediately.\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 D. PROVIDER PLANS","CHAPTER 1301. PREFERRED PROVIDER BENEFIT PLANS","SUBCHAPTER D. RELATIONS BETWEEN INSUREDS AND PREFERRED PROVIDERS"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1301.htm#1301.160","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"00812031066a28d3b6d348241f9d98dcb82a11751883cae098546db319dcb7a3","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1301.1591","next":"us-tx/tex.-insurance-code-1301.161"},"notice":"GroundRules: Original legal text. Not legal advice."}