Sec. 4151.104. NOTICE OF USE OF ADMINISTRATOR'S SERVICES. (a) If an insurer, plan, or plan sponsor uses the services of an administrator, the administrator shall give written notice to each insured and injured employee of the administrator's identity and the relationship among the administrator and the insurer, plan, or plan sponsor and the insured and injured employee. The insurer, plan, or plan sponsor must approve the notice before the notice is distributed.
(b) An administrator administering workers' compensation claims may satisfy the requirements of Subsection (a) by including the notice as part of, or in conjunction with, the notice required under Section 406.005(c), Labor Code.
(c) An administrator who fails to provide notice as required by Subsection (a) is subject to an administrative penalty in the manner provided by Chapter 84.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 7, eff. April 1, 2005.
Amended by:
Acts 2007, 80th Leg., R.S., Ch. 1176 (H.B. 472), Sec. 1.11, eff. September 1, 2007.
Structure Texas Statutes
Title 13 - Regulation of Professionals
Subtitle D - Other Professionals
Chapter 4151 - Third-Party Administrators
Subchapter C. Powers and Duties of Administrators and Insurers
Section 4151.101. Written Agreement With Insurer or Plan Sponsor Required
Section 4151.102. Contents of Written Agreement
Section 4151.103. Retention of Written Agreement; Inspection by Commissioner
Section 4151.104. Notice of Use of Administrator's Services
Section 4151.1041. Referral by Insurer
Section 4151.1042. Responsibilities of Insurer; Semiannual Audit
Section 4151.105. Payments to Administrator
Section 4151.106. Certain Funds Collected or Received by Administrator
Section 4151.107. Delivery or Deposit of Certain Funds Received by Administrator
Section 4151.108. Withdrawals From Fiduciary Account
Section 4151.109. Payment of Claims From Fiduciary Account Prohibited
Section 4151.110. Underwriting Standards
Section 4151.111. Adjudication of Claims
Section 4151.112. Maintenance of Books and Records
Section 4151.113. Access to Books and Records
Section 4151.114. Disposition of Books and Records on Termination of Written Agreement