Tex. Ins. Code § 1271.054 · Subchapter B. CONTENTS OF EVIDENCE OF COVERAGE
INFORMATION ABOUT COMPLAINTS AND APPEALS.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(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.
Notes and commentary — not statutory text
History
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1271.htm
- Text hash
- sha256 c8a54042ad317113637d6bace37e806f5b485b281c7bfce57269ea379218318d
- Composed by
- compose_tx.py 2026-10-05: the Legislative Council's chapter files read in document order; verify_tx.py's independent reading (lxml DOM walk) agrees character for character
Cited by 1 provision
Provisions in this library whose text cites Tex. Ins. Code § 1271.054. Each shows the citation as that text prints it.
Procedural information only. Not legal advice and not a substitute for the advice of an attorney. Confirm the current text with the official publisher before relying on it.