Texas Statutes (Last Updated: January 4, 2014) |
INSURANCE CODE |
Title 13. REGULATION OF PROFESSIONALS |
Subtitle D. OTHER PROFESSIONALS |
Chapter 4151. THIRD-PARTY ADMINISTRATORS |
Subchapter A. GENERAL PROVISIONS |
Sec. 4151.0021. APPLICABILITY TO CERTAIN PROCESSING AGENTS
Latest version.
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(a) In this section, "processing agent" means a person described by Section 413.0111, Labor Code.
(b) A processing agent is not an administrator for purposes of this chapter if the processing agent is acting as an assignee of a pharmacy and if:
(1) the assignee has a written contract with the pharmacy to:
(A) act as the provider of licensed pharmacy services in lieu of the pharmacy; and
(B) purchase the pharmacy's claims at face value, or at a value expressly stated in the contract; and
(2) the contract specifically prohibits the assignee from performing any function of an administrator, as that term is defined in this chapter, unless the assignee holds a certificate of authority under this chapter.
Added by Acts 2007, 80th Leg., R.S., Ch. 1176 , Sec. 1.03, eff. September 1, 2007.