Tex. Ins. Code § 1301.1581 · Subchapter D. RELATIONS BETWEEN INSUREDS AND PREFERRED PROVIDERS
INFORMATION CONCERNING EXCLUSIVE PROVIDER BENEFIT PLANS.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) In this section, "prospective insured" has the meaning assigned by Section 1301.158.
(b) In addition to the information required to be provided under Section 1301.158, an insurer that offers an exclusive provider benefit plan shall provide to a current or prospective group contract holder or current or prospective insured notice that the benefit plan includes limited coverage for services provided by a physician or health care provider that is not a preferred provider.
(c) An identification card or similar document issued by an insurer to an insured in an exclusive provider benefit plan must display:
(1) the first date on which the insured became insured under the plan;
(2) a toll-free number that a physician or health care provider may use to obtain the date on which the insured became insured under the plan; and
(3) the acronym "EPO" or the phrase "Exclusive Provider Organization" on the card in a location of the insurer's choice.
Notes and commentary — not statutory text
History
Added by Acts 2011, 82nd Leg., R.S., Ch. 288 (H.B. 1772), Sec. 10, eff. September 1, 2011.
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 1c416dd67eb26174a24bc9cab4c73110ebd583c2893cfaaa819a37625da97cbb
- 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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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.