Sec. 1271.002. RIGHT TO EVIDENCE OF COVERAGE; ISSUANCE. (a) Each enrollee residing in this state is entitled to evidence of coverage under a health care plan.
(b) The health maintenance organization shall issue the evidence of coverage, except as provided by Subsection (c).
(c) If the enrollee obtains coverage under a health care plan through an insurance policy or a contract issued by a group hospital service corporation, whether by option or otherwise, the insurer or the group hospital service corporation shall issue the evidence of coverage.
(d) By agreement between the health maintenance organization, insurer, or group hospital service corporation and the subscriber or person entitled to receive the evidence of coverage, policy, or contract, the evidence of coverage required by this section may be delivered electronically.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Amended by:
Acts 2005, 79th Leg., Ch. 728 (H.B. 2018), Sec. 11.032(a), eff. September 1, 2005.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Chapter 1271 - Benefits Provided by Health Maintenance Organizations; Evidence of Coverage; Charges
Subchapter A. General Provisions
Section 1271.001. Applicability of Definitions
Section 1271.002. Right to Evidence of Coverage; Issuance
Section 1271.003. Evidence of Coverage Not Health Insurance Policy
Section 1271.004. Individual Health Care Plan
Section 1271.005. Applicability of Other Law
Section 1271.006. Benefits to Dependent Child and Grandchild