SECTION 21.2438. Compliance Analysis for Nonquantitative Parity: General Instructions  


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  • (a) Template and instructions. Except as provided in §21.2431 of this title (relating to Required Analyses for Quantitative and Nonquantitative Parity; Alternative Tools), an issuer must use the template and its associated technical instructions published on TDI's website, titled "Compliance Analysis for Nonquantitative Parity" (NQTL template), to perform the plan identification and compliance analyses for NQTL parity required by:

    (1) §21.2440 of this title (relating to Nonquantitative Parity Analysis: Issuer and Plan Information); and

    (2) §21.2441 of this title (relating to Four-Step Analysis of Nonquantitative Treatment Limitations).

    (b) Template programming. TDI may program the template to populate some information and complete some steps of the analysis automatically.

    (c) Compliance analysis for plans with identical NQTLs. An issuer may complete a single analysis for multiple plans that contain an identical set of NQTLs.

Source Note: The provisions of this §21.2438 adopted to be effective September 7, 2021, 46 TexReg 5571