Sec. 1301.1581. INFORMATION CONCERNING EXCLUSIVE PROVIDER BENEFIT PLANS. (a) In this section, "prospective insured" has the meaning assigned by Section 1301.158.
(b) In addition to the information required to be provided under Section 1301.158, an insurer that offers an exclusive provider benefit plan shall provide to a current or prospective group contract holder or current or prospective insured notice that the benefit plan includes limited coverage for services provided by a physician or health care provider that is not a preferred provider.
(c) An identification card or similar document issued by an insurer to an insured in an exclusive provider benefit plan must display:
(1) the first date on which the insured became insured under the plan;
(2) a toll-free number that a physician or health care provider may use to obtain the date on which the insured became insured under the plan; and
(3) the acronym "EPO" or the phrase "Exclusive Provider Organization" on the card in a location of the insurer's choice.
Added by Acts 2011, 82nd Leg., R.S., Ch. 288 (H.B. 1772), Sec. 10, eff. September 1, 2011.
Section: Previous 1301.152 1301.153 1301.154 1301.155 1301.156 1301.157 1301.158 1301.1581 1301.159 1301.1591 1301.160 1301.161 1301.162 1301.163 1301.201 NextLast modified: September 28, 2016