Tex. Ins. Code § 1271.251 · Subchapter F. SCHEDULE OF CHARGES
APPROVAL OF FORMULA OR METHOD FOR COMPUTING SCHEDULE OF CHARGES.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) The formula or method for computing the schedule of charges for enrollee coverage for health care services must be filed with the commissioner before the formula or method is used in conjunction with a health care plan.
(b) The formula or method must be established in accordance with actuarial principles for the various categories of enrollees. The filing of the method or formula must contain:
(1) a statement by a qualified actuary that certifies that the formula or method is appropriate; and
(2) supporting information that the commissioner considers adequate.
(c) The formula or method must produce charges that are not excessive, inadequate, or unfairly discriminatory. Benefits must be reasonable with respect to the rates produced by the formula or method.
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 1581c47cdc3a58ca71b20afcabf715899e01236e95ec373cc35c42e4cd25f716
- 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 § 1271.251. 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.