Tex. Ins. Code § 843.260

Current with legislation from the 2023 Regular and Special Sessions signed by the Governor as of November 21, 2023.
Section 843.260 - Record of Complaints
(a) A health maintenance organization shall maintain a complaint and appeal log regarding each complaint. The log must identify those complaints relating to limited provider networks and delegated entities.
(b) A health maintenance organization shall maintain a record of and documentation on each complaint, complaint proceeding, and action taken on each complaint, including a complaint relating to a limited provider network or delegated entity, until the third anniversary of the date the complaint was received.
(c) A complainant is entitled to a copy of the record of the complainant's complaint and any proceeding relating to that complaint.
(d) The department, during any investigation of a health maintenance organization, may review documentation maintained under Subsection (b), including original documentation, regarding a complaint and action taken on the complaint.

Tex. Ins. Code § 843.260

Amended by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.209(a), eff. 9/1/2003.
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. 6/1/2003.