SECTION 13.557. Disputes Arising Under the Plan or Trust

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Benefit claims or other disputes arising under an approved PEO's plan are subject to the Insurance Code, including utilization review and independent review under Insurance Code Title 14, concerning Utilization Review and Independent Review, and to resolution under state law in the same manner as are benefit claims or disputes arising under a large employer health benefit plan issued under Insurance Code Chapter 1501, concerning the Health Insurance Portability and Availability Act, to the extent not inconsistent with the Employee Retirement Income Security Act of 1974 (ERISA) as provided in ERISA, 29 U.S.C. §1144.

Source Note: The provisions of this §13.557 adopted to be effective May 17, 2016, 41 TexReg 3479

                    
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