Sec. 1551.066. INFORMATION RELATING TO MISCONDUCT. (a) This section applies to:
(1) the Employees Retirement System of Texas;
(2) a carrier or other insurance company or health maintenance organization;
(3) an administering firm or other insurance support organization that provides information or services to the group benefits program or the Employees Retirement System of Texas;
(4) an agent or third-party administrator authorized under this chapter or licensed under this code;
(5) a regulatory authority or department; and
(6) a board member, executive director, employee, auditor, or actuary of an entity described by this section.
(b) A person may collect from, furnish to, or exchange with another person information, including medical records or other confidential information, to the extent the person considers necessary to detect or to impose a sanction for a criminal act, a misrepresentation, or nondisclosure that is related to an attempt to obtain coverage, payment, reimbursement, or a benefit under this chapter.
(c) A person who acts under Subsection (b) is immune from suit and criminal or civil liability unless the person acts with malice or intent to defraud.
Added by Acts 2003, 78th Leg., ch. 1276, Sec. 10A.405(a), eff. Sept. 1, 2003.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle H - Health Benefits and Other Coverages for Governmental Employees
Chapter 1551 - Texas Employees Group Benefits Act
Subchapter B. Administration and Implementation
Section 1551.051. Administration and Implementation
Section 1551.052. Authority for Rules, Plans, Procedures, and Orders
Section 1551.053. Authority to Hire Employees
Section 1551.055. General Powers of Board of Trustees Regarding Coverage Plans
Section 1551.056. Independent Administrator
Section 1551.057. Compensation of Person Employed by Board of Trustees
Section 1551.058. Electronic Authorizations
Section 1551.059. Certificate of Coverage
Section 1551.060. Identification Cards
Section 1551.061. Annual Report
Section 1551.062. Information on Operation and Administration of Chapter
Section 1551.063. Confidentiality of Certain Records
Section 1551.064. Certain Group Health and Accident Policies or Contracts
Section 1551.065. Disclosure of Social Security Number
Section 1551.066. Information Relating to Misconduct