Texas Insurance Code Title 8, Chapter 1458 - Provider Network Contract Arrangements
SUBCHAPTER A GENERAL PROVISIONS
- Texas Section 1458.001 - General Definitions
In this chapter: (1) "Affiliate" means a person who, directly or indirectly through one or more intermediaries, controls, is controlled by, or is under common...
- Texas Section 1458.002 - Definition Of Health Benefit Plan
(a) In this chapter, "health benefit plan" means: (1) a hospital and medical expense incurred policy; (2) a nonprofit health care service plan contract; (3)...
- Texas Section 1458.003 - Exemptions
This chapter does not apply: (1) under circumstances in which access to the provider network is granted to an entity that operates under the same...
SUBCHAPTER B REGISTRATION REQUIREMENTS
- Texas Section 1458.004 - Rulemaking Authority
The commissioner may adopt rules to implement this chapter. Added by Acts 2013, 83rd Leg., R.S., Ch. 197 (S.B. 822), Sec. 1, eff. September 1,
- Texas Section 1458.051 - Registration Required
(a) Unless the person holds a certificate of authority issued by the department to engage in the business of insurance in this state or operates...
- Texas Section 1458.052 - Disclosure Of Information
(a) A person required to register under Section 1458.051 must disclose: (1) all names used by the contracting entity, including any name under which the...
- Texas Section 1458.053 - Submission Of Information
Information required under this subchapter must be submitted in a written or electronic format adopted by the commissioner by rule. Added by Acts 2013, 83rd...
- Texas Section 1458.054 - Fees
The department may collect a reasonable fee set by the commissioner as necessary to administer the registration process. Fees collected under this chapter shall be...
SUBCHAPTER C RIGHTS AND RESPONSIBILITIES OF A CONTRACTING ENTITY
- Texas Section 1458.055 - Exemption For Affiliates
(a) The commissioner shall grant an exemption for affiliates of a contracting entity if the contracting entity holds a certificate of authority issued by the...
- Texas Section 1458.101 - Contract Requirements
(a) In this section, the following are each considered a single separate line of business: (1) preferred provider benefit plans covering individuals and groups; (2)...
- Texas Section 1458.102 - Contract Access
(a) A contracting entity may not provide a person access to health care services or contractual discounts under a provider network contract unless the provider...
- Texas Section 1458.103 - Enforcement
The commissioner may impose a sanction under Chapter 82 or assess an administrative penalty under Chapter 84 on a contracting entity that violates this chapter...
Last modified: September 28, 2016