Sec. 1575.010. INFORMATION REGARDING APPEALS. The trustee shall develop and distribute informational materials to individuals enrolled in a health benefit plan offered under the group program regarding:
(1) the enrollee's right to appeal denial of an adverse determination, as defined by Section 4201.002, to an independent review organization;
(2) the procedures for appealing to an independent review organization; and
(3) the assistance available from the trustee in navigating the procedures for appeal.
Added by Acts 2021, 87th Leg., R.S., Ch. 141 (H.B. 1585), Sec. 16, eff. May 26, 2021.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle H - Health Benefits and Other Coverages for Governmental Employees
Chapter 1575 - Texas Public School Employees Group Benefits Program
Subchapter A. General Provisions
Section 1575.002. General Definitions
Section 1575.0025. References to Basic Plan
Section 1575.003. Definition of Dependent and Related Terms
Section 1575.004. Definition of Retiree
Section 1575.005. Issuance of Certificate of Coverage
Section 1575.006. Exemption From Process
Section 1575.007. Exemption From State Taxes and Fees
Section 1575.008. Coverage Exempt From Insurance Law