Sec. 1601.060. ACCOUNTING BY CARRIER PROVIDING PURCHASED COVERAGE. (a) A carrier providing coverage purchased under this chapter to a system shall provide an accounting for each line of coverage to the system not later than the 120th day after the end of each plan year.
(b) The accounting must be in a form acceptable to the system.
(c) The accounting for each line of coverage must state:
(1) the cumulative amount of contributions remitted to the carrier under the coverage;
(2) the total of all mortality and other claims, charges, losses, costs, contingency reserve for pending and unreported claims, and expenses incurred; and
(3) the amounts of the allowance for a reasonable profit, contingency reserve, and all other administrative charges.
(d) Information provided under Subsection (c) must be provided:
(1) for the period from the coverage's date of issue to the end of the plan year; and
(2) for the plan year covered by the report.
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
Subchapter B. Administration and Implementation
Section 1601.051. Administration and Implementation
Section 1601.052. Rulemaking Authority
Section 1601.053. General Duties Relating to Coverage
Section 1601.054. Competitive Bidding Required
Section 1601.055. Identification of Administrative Costs in Bids
Section 1601.056. Information on Bidders and Bidding Contracts
Section 1601.057. Selection of Bids
Section 1601.058. Selection of Health Maintenance Organizations
Section 1601.059. Certificate of Coverage
Section 1601.060. Accounting by Carrier Providing Purchased Coverage
Section 1601.061. Special Reserve
Section 1601.062. Reports and Records by Administering Carrier