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386 chapters · 7,822 sections in this title.
Tex. Insurance Code § 1273.001 Definitions
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Sec. 1273.001. DEFINITIONS. In this subchapter: (1) "Blended contract" means a single document, including a single contract policy, certificate, or evidence of coverage, that provides a combination of indemnity and health maintenance organization benefits. (2) "Health maintenance…
Tex. Insurance Code § 1273.002 Point-of-Service Plan
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Sec. 1273.002. POINT-OF-SERVICE PLAN. An insurer may contract with a health maintenance organization to provide benefits under a point-of-service plan, including optional coverage for out-of-area services or out-of-network care. Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, ef…
Tex. Insurance Code § 1273.003 Blended Contract
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Sec. 1273.003. BLENDED CONTRACT. (a) A health maintenance organization and an insurer may offer a blended contract. The use of a blended contract is limited to point-of-service arrangements between a health maintenance organization and an insurer. (b) A blended contract delivered…
Tex. Insurance Code § 1273.004 Limited Benefits and Services; Cost-Sharing Provisions
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Sec. 1273.004. LIMITED BENEFITS AND SERVICES; COST-SHARING PROVISIONS. Indemnity benefits and services provided under a point-of-service plan may be limited to those services described by the blended contract and may be subject to different cost-sharing provisions. The cost-shari…