28 Tex. Admin. Code § 13.557
Current through Reg. 50, No. 1; January 3, 2025
Benefit claims or other disputes arising under an approved PEO's plan are subject to the Insurance Code, including utilization review and independent review under Insurance Code Title 14, concerning Utilization Review and Independent Review, and to resolution under state law in the same manner as are benefit claims or disputes arising under a large employer health benefit plan issued under Insurance Code Chapter 1501, concerning the Health Insurance Portability and Availability Act, to the extent not inconsistent with the Employee Retirement Income Security Act of 1974 (ERISA) as provided in ERISA, 29 U.S.C. §1144.
28 Tex. Admin. Code § 13.557