Texas Administrative Code
Title 28 - INSURANCE
Part 1 - TEXAS DEPARTMENT OF INSURANCE
Chapter 3 - LIFE, ACCIDENT, AND HEALTH INSURANCE AND ANNUITIES
Subchapter QQ - PROVIDER NETWORK CONTRACT REGISTRATION
Section 3.9802 - Provider Network Contracting Entity Registration Form Filing Required

Universal Citation: 28 TX Admin Code § 3.9802

Current through Reg. 50, No. 13; March 28, 2025

(a) TDI adopts the Provider Network Contracting Entity Registration Form by reference.

(b) Except as provided in subsection (c) of this section, each person operating as a contracting entity must submit to TDI a fully completed Provider Network Contracting Entity Registration Form with the required fee established under § 3.9804 of this title before the later of:

(1) the 30th day after the date on which the person begins acting as a contracting entity in this state; or

(2) December 1, 2014.

(c) The following contracting entities are not required to register under this section:

(1) a health maintenance organization operating under Insurance Code Chapter 843;

(2) an entity holding a certificate of authority issued by TDI to engage in the business of insurance in this state; or

(3) an affiliate named on the Provider Network Contracting Entity Exemption of Affiliates Form submitted under § 3.9803 of this title and granted an exemption by the commissioner in writing under § 3.9803(d) of this title.

(d) A contracting entity registered under this section must report any changes to the information submitted in the Provider Network Contracting Entity Registration Form submitted under subsection (b) of this section not later than the 30th day after the date on which the change takes effect.

(e) The contracting entity must submit the Provider Network Contracting Entity Registration Form and subsequent change reports in a written or electronic format at the address TDI will provide on the Provider Network Contracting Entity Registration Form.

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