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 3.9803 - Provider Network Contracting Entity Exemption of Affiliates Form Filing Required
Current through Reg. 49, No. 52; December 27, 2024
(a) TDI adopts the Provider Network Contracting Entity Exemption of Affiliates Form by reference.
(b) Unless the commissioner has granted an affiliate exemption to the contracting entity under this section, each contracting entity that is a health maintenance organization or other entity holding a certificate of authority issued by TDI to engage in the business of insurance in this state must submit to TDI a fully completed Provider Network Contracting Entity Exemption of Affiliates Form and the required fee established under § 3.9804 of this title before the later of:
(c) The person submitting the Provider Network Contracting Entity Exemption of Affiliates Form must:
(d) An affiliate exemption under this section is not effective until the commissioner grants the exemption in writing. The commissioner may grant the requested exemption to all listed affiliates, grant the exemption to some listed affiliates, or deny the requested exemption for one or more affiliates.
(e) Not later than August 1 of each year, a contracting entity that has submitted the Provider Network Contracting Entity Exemption of Affiliates Form under this section must report to the commissioner any changes to the information the contracting entity provided in its Provider Network Contracting Entity Exemption of Affiliates Form or subsequent annual reports, including the addition or removal of any affiliates.
(f) A contracting entity must submit the Provider Network Contracting Entity Exemption of Affiliates Form and subsequent annual reports in a written or electronic format to the address TDI will provide on the Provider Network Contracting Entity Exemption of Affiliates Form.
