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386 chapters · 7,822 sections in this title.
Tex. Insurance Code § 1274.001 Definitions
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Sec. 1274.001. DEFINITIONS. In this chapter: (1) "Enrollee" means an individual who is eligible for coverage under a health benefit plan, including a covered dependent. (2) "Health benefit plan" means a group, blanket, or franchise insurance policy, a certificate issued under a g…
Tex. Insurance Code § 1274.0015 Exemption
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Sec. 1274.0015. EXEMPTION. This chapter does not apply to a single-service health maintenance organization that provides coverage only for dental or vision benefits. Added by Acts 2005, 79th Leg., Ch. 880 (S.B. 1149), Sec. 1, eff. September 1, 2005.
Tex. Insurance Code § 1274.002 Transmission of Enrollee Eligibility and Payment Status
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Sec. 1274.002. TRANSMISSION OF ENROLLEE ELIGIBILITY AND PAYMENT STATUS. (a) Each health benefit plan issuer shall, upon the participating provider's submission of the patient's name, relationship to the primary enrollee, and birth date, make available telephonically, electronical…
Tex. Insurance Code § 1274.003 Certain Charges Prohibited
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Sec. 1274.003. CERTAIN CHARGES PROHIBITED. A health benefit plan issuer may not directly or indirectly charge or hold a physician, health care provider, or enrollee responsible for a fee for making available or accessing information under this chapter. Added by Acts 2005, 79th Le…