Texas Administrative Code
Title 28 - INSURANCE
Part 1 - TEXAS DEPARTMENT OF INSURANCE
Chapter 21 - TRADE PRACTICES
Subchapter OO - DISCLOSURES BY OUT-OF-NETWORK PROVIDERS
Section 21.4902 - Definitions
Current through Reg. 50, No. 13; March 28, 2025
Words and terms defined in Insurance Code Chapter 1467, concerning Out-of-Network Claim Dispute Resolution, have the same meaning when used in this subchapter unless the context clearly indicates otherwise, and the following words and terms have the following meanings when used in this subchapter unless the context clearly indicates otherwise.
(1) Administrator--Has the meaning assigned by Insurance Code § 1467.001, concerning Definitions. The term also includes an administrator of a nonprofit agricultural organization under Insurance Code Chapter 1682, concerning Health Benefits Provided by Certain Nonprofit Agricultural Organizations, and an administrator of a self-insured or self-funded ERISA plan under Insurance Code Chapter 1275, concerning Balance Billing Prohibitions and Out-of-Network Claim Dispute Resolution for Certain Plans, offering a health benefit plan.
(2) ERISA--The Employee Retirement Income Security Act of 1974 (29 USC § 1001 et seq.).
(3) Health benefit plan--A plan that provides coverage under: