tx-May82026-30: 28 TAC §3.3703 (Amendment) — Life, Accident, and Health Insurance and Annuities
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STATUTORY AUTHORITY. TDI proposes amendments to §3.3703 under Insurance Code §§1203.152, 1301.007, 4151.006, and 36.001. Insurance Code §1203.152 requires the commissioner to adopt rules establishing a uniform coordination of benefits questionnaire to be used by all health benefit plan issuers in Texas. Insurance Code §1301.007 directs the commissioner to adopt rules as necessary to implement Insurance Code Chapter 1301 and to ensure reasonable accessibility and availability of preferred provider services to Texas residents. Insurance Code §4151.006 authorizes the commissioner to adopt rules that are fair, reasonable, and appropriate to augment and implement Insurance Code Chapter 4151. Insurance Code §36.001 provides that the commissioner may adopt any rules necessary and appropriate to implement the powers and duties of TDI under the Insurance Code and other laws of this state. CROSS-REFERENCE TO STATUTE. Section 3.3703 implements Insurance Code §1203.153 and §4151.155, and Chapter 1369. §3.3703. Contracting Requirements. (a) An insurer marketing a preferred provider benefit plan must contract with physicians and health care providers to ensure that all medical and health care...
The agency’s own summary, as published.
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