SECTION 13.424. Certificate of Authority Renewal Requirements

(a) Not later than 180 days before its certificate anniversary date, the HCC must file with the commissioner an application to renew its certificate.

(b) The filing must include:

(1) the Original/Renewal Application for Certificate of Authority to do the Business of a Health Care Collaborative (HCC) in the State of Texas form; and

(2) the financial statements for the HCC, as of the close of the preceding calendar year.

(c) For purposes of this section, an HCC is not required at renewal to make a duplicate filing of any document or information item specified to be and filed as part of the original application for certificate of authority under §13.413 of this title (relating to Contents of the Application) that has not been amended, modified, revised, canceled, terminated, replaced, or otherwise changed since the original or most recent renewal certificate of authority was issued. A transmittal form specifically identifying the documents and items that have not changed since the original or most recent renewal certificate of authority was issued must be filed as a part of the renewal application and accompanied by an attestation executed by an officer or other authorized representative of the HCC certifying that the documents and items identified in the transmittal form have not changed.

(d) The provisions of subsection (c) of this section also apply to the duplicate filing of any document or information item specified to be and filed pursuant to provisions of §13.422 of this title (relating to Filing Requirements That Apply After Issuance of Certificate of Authority) that has not changed since its filing was approved or accepted by the department, as applicable.

(e) The department will accept for review an application for renewal when the filing is complete.

(1) The department will send written notice of an incomplete initial filing within 20 days of the filing, stating that the filing is not complete and has not been accepted for review.

(2) The notice must specify the information, documentation, and corrections necessary to make the filing complete.

(f) If a completed application for renewal is filed under Insurance Code §848.060 and this section, the commissioner will conduct a review and take official action on the completed application in accord with the provisions of Insurance Code §848.060. The review will be conducted under Insurance Code §848.057 as if the application for renewal were a new application.

Source Note: The provisions of this §13.424 adopted to be effective March 31, 2013, 38 TexReg 2100