Sec. 1551.352. EXECUTIVE DIRECTOR DETERMINES QUESTIONS RELATING TO ENROLLMENT OR PAYMENT OF CLAIMS. The executive director has exclusive authority to determine all questions relating to enrollment in or payment of a claim arising from group coverages or benefits provided under this chapter other than questions relating to payment of a claim by a health maintenance organization.
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 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 H. Sanctions and Adjudication of Claims
Section 1551.351. Administrative Process and Sanctions for Program Violations
Section 1551.354. Double or Multiple Liability
Section 1551.355. Appeal of Executive Director's Determination
Section 1551.357. Determination of Appeal by Board of Trustees
Section 1551.359. Judicial Review