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Texas Administrative Code (Last Updated: March 27,2024) |
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TITLE 28. INSURANCE |
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PART 1. TEXAS DEPARTMENT OF INSURANCE |
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CHAPTER 3. LIFE, ACCIDENT, AND HEALTH INSURANCE AND ANNUITIES |
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SUBCHAPTER X. PREFERRED AND EXCLUSIVE PROVIDER PLANS |
| DIVISION 1. GENERAL REQUIREMENTS |
| § 3.3701. Applicability and Scope |
| § 3.3702. Definitions |
| § 3.3703. Contracting Requirements |
| § 3.3704. Freedom of Choice; Availability of Preferred Providers |
| § 3.3705. Nature of Communications with Insureds; Readability, Mandatory Disclosure Requirements, and Plan Designations |
| § 3.3706. Designation as a Preferred Provider, Decision to Withhold Designation, Termination of a Preferred Provider, Review of Process |
| § 3.3707. Waiver Due to Failure to Contract in Local Markets |
| § 3.3708. Payment of Certain Basic Benefit Claims and Related Disclosures |
| § 3.3709. Annual Network Adequacy Report |
| § 3.3710. Failure to Provide an Adequate Network |
| § 3.3711. Geographic Regions |
| DIVISION 2. EXCLUSIVE PROVIDER BENEFIT PLAN REQUIREMENTS |
| § 3.3720. Preferred and Exclusive Provider Benefit Plan Requirements |
| § 3.3721. Preferred and Exclusive Provider Benefit Plan Network Approval Required |
| § 3.3722. Application for Preferred and Exclusive Provider Benefit Plan Approval; Qualifying Examination; Network Modifications |
| § 3.3723. Examinations |
| § 3.3724. Quality Improvement Program |
| § 3.3725. Payment of Certain Out-of-Network Claims |