Section 1272.202 - Notice of Noncompliance or Hazardous Operating Condition(a) If a health maintenance organization becomes aware of information that indicates a delegated entity with which the health maintenance organization has entered into a delegation agreement is not operating in accordance with the agreement or is operating in a condition that renders continuing the entity's business hazardous to the enrollees, the health maintenance organization shall in writing:(1) notify the entity of those findings; and(2) request a written explanation and documentation supporting that explanation of the entity's apparent noncompliance or the existence of the hazardous condition.(b) A health maintenance organization shall provide to the commissioner a copy of each notice and request submitted to a delegated entity under this section and each response or other documentation the health maintenance organization receives or generates in response to the notice and request.Tex. Ins. Code § 1272.202
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. 4/1/2005.