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Texas Notification that an Insurer or HMO will be acting as an Administrator

State:
Texas
Control #:
TX-FIN482
Format:
PDF
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Description

Notification that an Insurer or HMO will be acting as an Administrator Texas Notification is a state regulation that requires insurance companies and health maintenance organizations (HMO's) to inform Texan consumers that they are acting as an administrator for a health plan or insurance policy. The notification includes a brief description of the plan or policy, a list of the services that are covered, and information about how to file a claim. It also includes information about how to contact the insurer or HMO if the consumer has any questions or complaints. There are two types of Texas Notification: 1. Texas Notification to Insureds: This notification must be provided to insureds who are part of an insurance plan or policy that the insurer or HMO administers. It must include a brief description of the plan or policy, a list of the services that are covered, and information about how to file a claim. 2. Texas Notification to Self-Funded Plans: This notification must be provided to individuals who are part of a self-funded plan that the insurer or HMO administers. It must include a brief description of the plan or policy, a list of the services that are covered, and information about how to file a claim. Additionally, it must include information about the applicable state and federal laws that apply to self-funded plans.

Texas Notification is a state regulation that requires insurance companies and health maintenance organizations (HMO's) to inform Texan consumers that they are acting as an administrator for a health plan or insurance policy. The notification includes a brief description of the plan or policy, a list of the services that are covered, and information about how to file a claim. It also includes information about how to contact the insurer or HMO if the consumer has any questions or complaints. There are two types of Texas Notification: 1. Texas Notification to Insureds: This notification must be provided to insureds who are part of an insurance plan or policy that the insurer or HMO administers. It must include a brief description of the plan or policy, a list of the services that are covered, and information about how to file a claim. 2. Texas Notification to Self-Funded Plans: This notification must be provided to individuals who are part of a self-funded plan that the insurer or HMO administers. It must include a brief description of the plan or policy, a list of the services that are covered, and information about how to file a claim. Additionally, it must include information about the applicable state and federal laws that apply to self-funded plans.

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Texas Notification that an Insurer or HMO will be acting as an Administrator