Texas Insurance Code Title 6, Chapter 844 - Certification Of Certain Nonprofit Health Corporations

SUBCHAPTER A GENERAL PROVISIONS

• Texas Section 844.001 - Definitions
  In this chapter: (1) "Approved nonprofit health corporation" means a nonprofit health corporation certified under Section 162.001, Occupations Code. (2) "Certificate holder" means an approved...
• Texas Section 844.002 - Exceptions
  This chapter does not apply to: (1) an approved nonprofit health corporation that contracts to arrange for or provide health care services on a fee-for-service...
• Texas Section 844.003 - Exceptions To Texas Health Maintenance Organization Act
  This chapter may not be construed to alter the exceptions stated in Sections 843.053 and 843.073. Added by Acts 2001, 77th Leg., ch. 1419, Sec....
• Texas Section 844.004 - Rules
  Except as provided by Section 844.101(b), the commissioner shall adopt rules to implement this chapter. Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1,...

SUBCHAPTER B AUTHORITY TO ENGAGE IN BUSINESS

• Texas Section 844.005 - Provision Of Certain Services On Behalf Of Health Maintenance Organizations
  (a) An approved nonprofit health corporation may arrange for or provide health care services on a risk-sharing or capitated risk arrangement on behalf of a...
• Texas Section 844.051 - Certificate Of Authority Required
  An approved nonprofit health corporation may not arrange for or provide a health care plan to enrollees on a prepaid basis unless the corporation holds...
• Texas Section 844.052 - Certificate Application; Eligibility Requirements
  (a) An approved nonprofit health corporation may apply to the department for a certificate of authority under this chapter. (b) The commissioner may issue a...
• Texas Section 844.053 - Provisional Certificate Of Authority
  The commissioner shall grant a provisional certificate of authority to an applicant if: (1) the applicant has applied for accreditation from an accrediting organization described...

SUBCHAPTER C PROHIBITED CONDUCT

• Texas Section 844.054 - Powers And Duties Of Certificate Holder
  (a) A certificate holder has all the powers granted to and duties imposed on a health maintenance organization under the insurance laws of this state,...
• Texas Section 844.101 - Unfair Competition
  (a) A certificate holder may not engage in unfair and disruptive provider hiring or contracting practices for the purpose of limiting competition from traditional community...

Last modified: September 28, 2016