tx-May82026-36: 28 TAC §11.202 (Amendment) — Health Maintenance Organizations
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STATUTORY AUTHORITY. TDI proposes amendments to §11.202 under Insurance Code §§843.080, 843.151 and 36.001. Insurance Code §843.080 authorizes the commissioner to adopt reasonable rules that the commissioner considers necessary for the proper administration of Insurance Code Chapter 843 to require an HMO, after receiving its certificate of authority, to submit modifications or amendments for the commissioner's approval or information. Insurance Code §843.151 authorizes the commissioner to adopt reasonable rules to implement various parts of the Insurance Code and to ensure adequate access to health care services. 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. The amendments to §11.202 implement Insurance Code Chapter 843, Subchapter C. §11.202. Binding, Indexing, and Numbering Requirements. (a) A proposed HMO may submit an application for a certificate of authority in electronic format, by electronic file transmission or in a data storage format acceptable to the department, or by paper. (b) If an HMO...
The agency’s own summary, as published.
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