Texas Administrative Code
Title 28 - INSURANCE
Part 1 - TEXAS DEPARTMENT OF INSURANCE
Chapter 11 - HEALTH MAINTENANCE ORGANIZATIONS
Subchapter W - SINGLE SERVICE HMOS
Section 11.2205 - Prohibited Practices
Universal Citation: 28 TX Admin Code § 11.2205
Current through Reg. 50, No. 13; March 28, 2025
(a) Under an individual plan, a single service HMO may not limit or otherwise interfere with an enrollee's right to terminate his or her membership in the plan before the end of the enrollment year.
(b) A single service HMO may not limit coverage for emergency services under a single health care service plan.
(c) A single service HMO may not charge an emergency fee in addition to a copayment for emergency services.
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