SECTION 7.1605. Notification Requirements  


Latest version.
  • (a) An insurer or HMO that is acting as or holding itself out as an administrator and that is not exempt under the Insurance Code §4151.002(3) or (4) is subject to all provisions of this subchapter, except §§7.1603, 7.1604, and 7.1609(c) and (d)(1) and (2) of this subchapter (relating to Certificate of Authority Required, Application for Certificate of Authority, and Annual Report).

    (b) An insurer or HMO meeting the requirements of subsection (a) of this section must provide written notification to the department that it will be acting as or holding itself out as an administrator. The notice must include:

    (1) the insurer's or HMO's contact information, including its TDI company number;

    (2) a narrative describing the insurer's or HMO's facilities, personnel, and experience relating to the functions the insurer or HMO will be performing as an administrator; and

    (3) a list of any other states in which the insurer or HMO will be acting as or holding itself out as an administrator.

Source Note: The provisions of this §7.1605 adopted to be effective June 25, 2009, 34 TexReg 4143