Tex. Ins. Code § 843.282 · Subchapter H. GENERAL PROVISIONS REGARDING COMPLAINTS
SUBMITTING COMPLAINTS TO DEPARTMENT.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) Any person, including a person who has attempted to resolve a complaint through a health maintenance organization's complaint system process and is dissatisfied with the resolution, may submit a complaint to the department alleging a violation of:
(1) this chapter;
(2) Section 1367.053;
(3) Subchapter A, Chapter 1452;
(4) Subchapter B, Chapter 1507;
(5) Chapters 222, 251, and 258, as applicable to a health maintenance organization; or
(6) Chapter 1271 or 1272.
(b) The commissioner shall complete an investigation of a complaint against a health maintenance organization to determine whether a violation has occurred not later than the 60th day after the date the department receives the complaint and all information necessary for the commissioner to make a determination.
(c) The commissioner may extend the time necessary to complete an investigation if:
(1) additional information is needed;
(2) an on-site review is necessary;
(3) the health maintenance organization, the physician or provider, or the complainant does not provide all documentation necessary to complete the investigation; or
(4) other circumstances beyond the control of the department occur.
Notes and commentary — not statutory text
History
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.
Amended by:
Acts 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 2E.047, eff. April 1, 2009.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.843.htm
- Text hash
- sha256 6f87843e1cf80ab78f580fd7718de1031c74bbca9dd895ddde0b427e7e571da3
- 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
Provisions in this library that the text above cites, as it prints each citation. A range cited as “ss. 61.13-61.16” links its first and last provisions.
Insurance Code
- Tex. Ins. Code ch. 1271BENEFITS PROVIDED BY HEALTH MAINTENANCE ORGANIZATIONS; EVIDENCE OF COVERAGE; CHARGESPrinted as Chapter 1271
- Tex. Ins. Code § 1367.053COVERAGE REQUIRED.Printed as Section 1367.053
- Tex. Ins. Code ch. 1452, subch. ACREDENTIALING OF PHYSICIANS AND PROVIDERS BY HEALTH MAINTENANCE ORGANIZATIONPrinted as Subchapter A, Chapter 1452
- Tex. Ins. Code ch. 1507, subch. BCONSUMER CHOICE OF BENEFITS HEALTH MAINTENANCE ORGANIZATION PLANSPrinted as Subchapter B, Chapter 1507
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.