Texas Administrative Code
Title 28 - INSURANCE
Part 1 - TEXAS DEPARTMENT OF INSURANCE
Chapter 21 - TRADE PRACTICES
Subchapter GG - HEALTH CARE QUALITY ASSURANCE PRESUMED COMPLIANCE
Section 21.4101 - Purpose and Scope
Universal Citation: 28 TX Admin Code § 21.4101
Current through Reg. 50, No. 13; March 28, 2025
(a) General purpose. This subchapter implements provisions of the Health Care Quality Assurance Act (Act), codified as the Insurance Code Chapter 847. The general purpose of the Act and this subchapter is to provide standards for the appropriate recognition of accreditation of health benefit plan issuers by nationally recognized accreditation organizations. These standards will facilitate increased affordability of health benefit plan coverage for consumers and eliminate the duplication of effort by both health benefit plan issuers and state agencies.
(b) Applicability. This subchapter applies to an entity that:
(1) issues a health benefit plan as defined
in the Insurance Code §
847.003(2);
(2) holds a license or certificate of
authority issued by the commissioner; and
(3) provides benefits for medical or surgical
expenses incurred as a result of a health condition, accident, or sickness,
including those entities listed in the Insurance Code §
847.004.
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