Tex. Ins. Code § 1271.054

Current with legislation from the 2023 Regular and Special Sessions signed by the Governor as of November 21, 2023.

Section 1271.054 - Information About Complaints and Appeals

(a) An evidence of coverage must contain a clear and understandable description of the health maintenance organization's methods for resolving enrollee complaints, including:

(1) the enrollee's right to appeal denial of an adverse determination to an independent review organization; and

(2) the procedures for appealing to an independent review organization.

(b) A health maintenance organization may indicate a subsequent change to the methods for resolving enrollee complaints in a separate document issued to the enrollee.

Tex. Ins. Code § 1271.054

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. 4/1/2005.