Texas Administrative Code
Title 28 - INSURANCE
Part 1 - TEXAS DEPARTMENT OF INSURANCE
Chapter 11 - HEALTH MAINTENANCE ORGANIZATIONS
Subchapter Q - OTHER REQUIREMENTS
Section 11.1602 - Enrollment Form and Access to Certain Information
Current through Reg. 50, No. 13; March 28, 2025
(a) An HMO must include on its enrollment form a space in which an enrollee may indicate:
(b) The HMO must provide, at its own expense, a member handbook and materials relating to the complaint and appeal process and the availability of the independent review process in the language of the major population of the HMO's enrolled population under Insurance Code § 843.205 (concerning Member's Handbook; Information About Complaints and Appeals). The HMO may deliver the member handbook and materials electronically but must provide a paper copy on request.
(c) If a member has a disability affecting the member's ability to communicate or read, then the HMO must provide, at its own expense, a member handbook and materials relating to the complaint and appeal process and the availability of the independent review process in the appropriate format, including, but not limited to:
