Texas Statutes (Last Updated: January 4, 2014) |
INSURANCE CODE |
Title 6. ORGANIZATION OF INSURERS AND RELATED ENTITIES |
Subtitle C. LIFE, HEALTH, AND ACCIDENT INSURERS AND RELATED ENTITIES |
Chapter 843. HEALTH MAINTENANCE ORGANIZATIONS |
Subchapter F. RELATIONS WITH ENROLLEES AND GROUP CONTRACT HOLDERS |
Sec. 843.205. MEMBER'S HANDBOOK; INFORMATION ABOUT COMPLAINTS AND APPEALS
Latest version.
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(a) In this section, "major population" means a group constituting 10 percent or more of the enrolled population of the health maintenance organization.
(b) A health maintenance organization shall establish procedures to:
(1) provide to an enrollee a member handbook and materials relating to the complaint and appeals process in the languages of the major populations of the enrolled population; and
(2) provide access to a member handbook and the complaint and appeals process to an enrollee who has a disability that affects the enrollee's ability to communicate or read.
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.