Sec. 843.107. INDEMNITY BENEFITS; POINT-OF-SERVICE PROVISIONS. A health maintenance organization may offer:
(1) indemnity benefits covering out-of-area emergency care;
(2) indemnity benefits, in addition to those relating to out-of-area and emergency care, provided through an insurer or group hospital service corporation;
(3) a point-of-service plan under Subchapter A, Chapter 1273; or
(4) a point-of-service rider under Section 843.108.
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.
Amended by:
Acts 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 2E.038, eff. April 1, 2009.
Structure Texas Statutes
Title 6 - Organization of Insurers and Related Entities
Subtitle C - Life, Health, and Accident Insurers and Related Entities
Chapter 843 - Health Maintenance Organizations
Subchapter D. General Powers and Duties of Health Maintenance Organizations
Section 843.101. Providing or Arranging for Care
Section 843.102. Health Maintenance Organization Quality Assurance
Section 843.104. Contracts for Certain Administrative Functions
Section 843.105. Management and Exclusive Agency Contracts
Section 843.106. Insurance, Reinsurance, Indemnity, and Reimbursement
Section 843.107. Indemnity Benefits; Point-of-Service Provisions
Section 843.108. Point-of-Service Rider
Section 843.109. Payment by Governmental or Private Entity
Section 843.110. Corporation, Partnership, or Association Powers
Section 843.111. Group Model Health Maintenance Organizations