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Current as of January 01, 2024 | Updated by Findlaw Staff
(a) If a practitioner's participation in a preferred provider benefit plan is terminated for a reason other than at the practitioner's request, an insurer may not notify insureds of the termination until the later of:
(1) the effective date of the termination; or
(2) the time at which a review panel makes a formal recommendation regarding the termination.
(b) A physician or health care provider that voluntarily terminates the physician's or provider's participation in a preferred provider benefit plan shall provide reasonable notice to each insured under the physician's or provider's care. The insurer shall provide assistance to the physician or provider in ensuring that the notice requirements of this subsection are met.
(c) If a practitioner's participation in a preferred provider benefit plan is terminated for reasons related to imminent harm, an insurer may notify insureds immediately.
Cite this article: FindLaw.com - Texas Insurance Code - INS § 1301.160. Notification of Termination of Participation of Preferred Provider - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-1301-160/
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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