Tex. Ins. Code § 848.002 · Subchapter A. GENERAL PROVISIONS
EXCEPTION: DELEGATED ENTITIES.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) This section applies only to an entity, other than a health maintenance organization, that:
(1) by itself or through a subcontract with another entity, undertakes to arrange for or provide medical care or health care services to enrollees in exchange for predetermined payments on a prospective basis; and
(2) accepts responsibility for performing functions that are required by:
(A) Chapter 222, 251, 258, or 1272, as applicable, to a health maintenance organization; or
(B) Chapter 843, Chapter 1271, Section 1367.053, Subchapter A, Chapter 1452, or Subchapter B, Chapter 1507, as applicable, solely on behalf of health maintenance organizations.
(b) An entity described by Subsection (a) is subject to Chapter 1272 and is not required to obtain a certificate of authority or determination of approval under this chapter.
Notes and commentary — not statutory text
History
Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 4.01, eff. September 28, 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.848.htm
- Text hash
- sha256 e1c5f2662bb4c758f2ab46d56f9e6c89d7206d442a16520b936443b40aae57d2
- 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. 222LIFE, HEALTH, AND ACCIDENT INSURANCE PREMIUM TAXPrinted as Chapter 222
- Tex. Ins. Code ch. 843HEALTH MAINTENANCE ORGANIZATIONSPrinted as Chapter 843
- Tex. Ins. Code ch. 1271BENEFITS PROVIDED BY HEALTH MAINTENANCE ORGANIZATIONS; EVIDENCE OF COVERAGE; CHARGESPrinted as Chapter 1271
- Tex. Ins. Code ch. 1272DELEGATION OF CERTAIN FUNCTIONS BY HEALTH MAINTENANCE ORGANIZATIONPrinted as Chapter 1272
- 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.