Texas Insurance Code Title 8, Chapter 1377 - Coverage For Certain Amino Acid-based Elemental Formulas
SUBCHAPTER A GENERAL PROVISIONS
Texas Section 1377.001 - Definition
In this chapter, "enrollee" means an individual entitled to coverage under a health benefit plan. Added by Acts 2009, 81st Leg., R.S., Ch. 1129 (H.B....
Texas Section 1377.002 - Applicability Of Chapter
(a) This chapter applies only to a health benefit plan, including a small employer health benefit plan written under Chapter 1501 or coverage provided by...
SUBCHAPTER B COVERAGE FOR CERTAIN AMINO ACID-BASED ELEMENTAL FORMULAS
Texas Section 1377.003 - Exception
This chapter does not apply to: (1) a plan that provides coverage: (A) only for benefits for a specified disease or for another limited benefit,...
Texas Section 1377.052 - Utilization Review
(a) A utilization review agent acting on behalf of a health benefit plan issuer may review a treating physician's determination of the medical necessity of...