Tex. Ins. Code § 1272.063 · Subchapter B. DELEGATION AGREEMENTS
ENROLLEE COMPLAINTS.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) A delegation agreement required by Section 1272.052 must provide that:
(1) if the delegated entity receives a complaint that does not involve emergency care, the entity shall report the complaint to the health maintenance organization not later than the second business day after the date the entity receives the complaint; and
(2) if the delegated entity receives a complaint involving emergency care, the entity shall immediately forward the complaint to the health maintenance organization.
(b) Subsection (a) does not prohibit a delegated entity from attempting to resolve a complaint.
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 f56e68672a1e1b87f392c38b0a7f087f835bf290f97e984fc72aec467e3b8c75
- 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
This section cites
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