Sec. 1271.051. EVIDENCE OF COVERAGE: CONTRACT AND CERTIFICATE REQUIREMENTS. (a) An evidence of coverage that is a contract must contain a clear and complete statement of the information required by Sections 1271.052, 1271.053, and 1271.054.
(b) An evidence of coverage that is a certificate must contain a reasonably complete facsimile of the information required by Sections 1271.052, 1271.053, and 1271.054.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 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 B. Contents of Evidence of Coverage
Section 1271.051. Evidence of Coverage: Contract and Certificate Requirements
Section 1271.052. Information About Benefits and Limitations
Section 1271.053. Information About Obtaining Services
Section 1271.054. Information About Complaints and Appeals
Section 1271.055. Out-of-Network Services
Section 1271.056. Unfair or Deceptive Provisions and Statements Prohibited