Tex. Ins. Code § 4201.104 · Subchapter C. CERTIFICATION
CERTIFICATION AND RENEWAL FORMS.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) The commissioner shall promulgate forms to be filed under this subchapter for initial certification and for a renewal certificate of registration. The form for initial certification must require:
(1) the utilization review agent's name, address, telephone number, and normal business hours;
(2) the name and address of an agent for service of process in this state;
(3) a summary of the utilization review plan;
(4) information concerning the categories of personnel who will perform utilization review for the agent;
(5) a copy of the procedures established under Subchapter H for the appeal of an adverse determination;
(6) a certification that the agent will comply with this chapter; and
(7) a copy of the procedures for resolving oral or written complaints initiated by enrollees, patients, or health care providers as required by Section 4201.204.
(b) The commissioner may not require that the summary of the utilization review plan include proprietary details.
Notes and commentary — not statutory text
History
Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.4201.htm
- Text hash
- sha256 1f066f71da04abfe0dfe48d030180d9a2182fee95f77c81c3e8622970952b8ba
- 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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