Sec. 843.205. MEMBER'S HANDBOOK; INFORMATION ABOUT COMPLAINTS AND APPEALS. (a) In this section, "major population" means a group constituting 10 percent or more of the enrolled population of the health maintenance organization.
(b) A health maintenance organization shall establish procedures to:
(1) provide to an enrollee a member handbook and materials relating to the complaint and appeals process in the languages of the major populations of the enrolled population; and
(2) provide access to a member handbook and the complaint and appeals process to an enrollee who has a disability that affects the enrollee's ability to communicate or read.
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.
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 F. Relations With Enrollees and Group Contract Holders
Section 843.201. Disclosure of Information About Health Care Plan Terms
Section 843.2015. Information Available Through Internet Site
Section 843.202. Disclosure of Information to Medicare Recipients
Section 843.203. Selection of Primary Care Physician or Provider
Section 843.204. Untrue or Misleading Information
Section 843.205. Member's Handbook; Information About Complaints and Appeals
Section 843.206. Notice of Change in Payment Arrangements
Section 843.207. Notice of Change in Operations
Section 843.2071. Notice of Increase in Charge for Coverage
Section 843.208. Cancellation or Nonrenewal of Coverage
Section 843.209. Identification Card