Chapter 1271. BENEFITS PROVIDED BY HEALTH MAINTENANCE ORGANIZATIONS; EVIDENCE OF COVERAGE; CHARGES  


Subchapter A. GENERAL PROVISIONS
§ 1271.001. APPLICABILITY OF DEFINITIONS
§ 1271.002. RIGHT TO EVIDENCE OF COVERAGE; ISSUANCE
§ 1271.003. EVIDENCE OF COVERAGE NOT HEALTH INSURANCE POLICY
§ 1271.004. INDIVIDUAL HEALTH CARE PLAN
§ 1271.005. APPLICABILITY OF OTHER LAW
§ 1271.006. BENEFITS TO DEPENDENT CHILD AND GRANDCHILD
§ 1271.007. RELIGIOUS CONVICTIONS
Subchapter B. CONTENTS OF EVIDENCE OF COVERAGE
§ 1271.051. EVIDENCE OF COVERAGE: CONTRACT AND CERTIFICATE REQUIREMENTS
§ 1271.052. INFORMATION ABOUT BENEFITS AND LIMITATIONS
§ 1271.053. INFORMATION ABOUT OBTAINING SERVICES
§ 1271.054. INFORMATION ABOUT COMPLAINTS AND APPEALS
§ 1271.055. OUT-OF-NETWORK SERVICES
§ 1271.056. UNFAIR OR DECEPTIVE PROVISIONS AND STATEMENTS PROHIBITED
§ 1271.057. DISCRETIONARY CLAUSES PROHIBITED
Subchapter C. COMMISSIONER APPROVAL
§ 1271.101. APPROVAL OF FORM OF EVIDENCE OF COVERAGE OR GROUP CONTRACT
§ 1271.102. PROCEDURES FOR APPROVAL OF FORM OF EVIDENCE OF COVERAGE OR GROUP CONTRACT; WITHDRAWAL OF APPROVAL
§ 1271.103. WITHDRAWAL OF APPROVAL OF FORM
§ 1271.104. INFORMATION REQUIRED BY COMMISSIONER
Subchapter D. CERTAIN BENEFITS REQUIRED
§ 1271.151. PROVISION OF BASIC HEALTH CARE SERVICES
§ 1271.152. STANDARDS FOR BASIC HEALTH CARE SERVICES
§ 1271.153. PERIODIC HEALTH EVALUATIONS
§ 1271.154. WELL-CHILD CARE FROM BIRTH
§ 1271.155. EMERGENCY CARE
§ 1271.156. BENEFITS FOR REHABILITATION SERVICES AND THERAPIES
Subchapter E. CHOICE OF PRIMARY CARE PHYSICIAN FOR CERTAIN ENROLLEES
§ 1271.201. DESIGNATION OF SPECIALIST AS PRIMARY CARE PHYSICIAN
§ 1271.202. APPEAL
§ 1271.203. EFFECTIVE DATE OF DESIGNATION
Subchapter F. SCHEDULE OF CHARGES
§ 1271.251. APPROVAL OF FORMULA OR METHOD FOR COMPUTING SCHEDULE OF CHARGES
§ 1271.252. CONSIDERATION OF INDIVIDUAL HEALTH STATUS PROHIBITED
§ 1271.253. INFORMATION REQUIRED BY COMMISSIONER
Subchapter G. CONTINUATION OF COVERAGE, CONVERSION CONTRACTS, AND RENEWAL
§ 1271.301. ENTITLEMENT TO CONTINUATION OF GROUP COVERAGE
§ 1271.302. REQUEST FOR CONTINUED COVERAGE; DEADLINE
§ 1271.303. PAYMENT FOR CONTINUED COVERAGE
§ 1271.304. TERMINATION OF CONTINUED COVERAGE
§ 1271.305. NOTIFICATION OF RISK POOL ELIGIBILITY
§ 1271.306. CONVERSION CONTRACTS
§ 1271.307. RENEWABILITY OF COVERAGE: INDIVIDUAL HEALTH CARE PLANS AND CONVERSION CONTRACTS