Tex. Ins. Code § 1272.053 · Subchapter B. DELEGATION AGREEMENTS
MONITORING PLAN.
Text — Current through the 89th 2nd Called Legislative Session, 2025
A delegation agreement required by Section 1272.052 must establish a monitoring plan that:
(1) allows the health maintenance organization to monitor compliance with the minimum solvency requirements established under Subchapter D, if applicable; and
(2) includes:
(A) a description of financial practices that will ensure that the delegated entity tracks and reports liabilities that have been incurred but not reported;
(B) a summary of the total amount paid by the entity to physicians and providers on a monthly basis; and
(C) a summary of complaints from physicians, providers, and enrollees regarding delays in payment or nonpayment of claims, including the status of each complaint, on a monthly basis.
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.1272.htm
- Text hash
- sha256 f0f5dcee2fa38d4a68b110385830125489c34160dbad81fea70ad86c172c1864
- 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
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