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Current as of January 01, 2024 | Updated by Findlaw Staff
(a) An evidence of coverage must contain a clear and understandable description of the health maintenance organization's methods for resolving enrollee complaints, including:
(1) the enrollee's right to appeal denial of an adverse determination to an independent review organization; and
(2) the procedures for appealing to an independent review organization.
(b) A health maintenance organization may indicate a subsequent change to the methods for resolving enrollee complaints in a separate document issued to the enrollee.
Cite this article: FindLaw.com - Texas Insurance Code - INS § 1271.054. Information About Complaints and Appeals - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-1271-054/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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