Tex. Ins. Code § 1301.140 · Subchapter C-1. OTHER PROVISIONS RELATING TO PAYMENT OF CLAIMS
OUT-OF-POCKET EXPENSE CREDIT.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) An insurer shall credit toward an insured's deductible and annual maximum out-of-pocket expenses an amount the insured pays directly to any physician or health care provider for a medically necessary covered medical or health care service or supply if a claim for the service or supply is not submitted to the insurer and the amount paid by the insured to the physician or health care provider is less than the average discounted rate for the service or supply paid to an equivalently licensed or authorized preferred provider under the insured's preferred provider benefit plan.
(b) An insurer shall:
(1) establish a procedure by which an insured may claim a credit under Subsection (a); and
(2) identify documentation necessary to support a claim for a credit under Subsection (a).
(c) Information about the procedure and documentation described by Subsection (b) must be readily accessible to an insured on the insurer's Internet website.
Notes and commentary — not statutory text
History
Added by Acts 2023, 88th Leg., R.S., Ch. 437 (H.B. 2002), Sec. 1, eff. September 1, 2023.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1301.htm
- Text hash
- sha256 9f932a14f14826d8ff584b2ad0af7a71ee179a52ecc70d96781f916f4545a227
- 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
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.