Sec. 1451.053. PRACTITIONER DESIGNATION. (a) An accident and health insurance policy may not make a benefit contingent on treatment or examination by one or more particular health care practitioners listed in Section 1451.001 unless the policy contains a provision that designates the practitioners whom the insurer will and will not recognize.
(b) The insurer may include the provision anywhere in the policy or in an endorsement attached to the policy.
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
Subtitle F - Physicians and Health Care Providers
Chapter 1451 - Access to Certain Practitioners and Facilities
Subchapter B. Designation of Practitioners Under Accident and Health Insurance Policy
Section 1451.051. Applicability of Subchapter
Section 1451.052. Applicability of General Provisions of Other Law
Section 1451.053. Practitioner Designation
Section 1451.054. Terms Used to Designate Health Care Practitioners