Texas Insurance Code - INS § 1456.003. Required Disclosure:  Health Benefit Plan

(a) Each health benefit plan that provides health care through a provider network shall provide notice to its enrollees that:

(b) The health benefit plan shall provide the disclosure in writing to each enrollee:

(c) A health benefit plan must clearly identify any health care facilities within the provider network in which facility-based physicians do not participate in the health benefit plan's provider network.  Health care facilities identified under this subsection must be identified in a separate and conspicuous manner in any provider network directory or website directory.

(d) Along with any explanation of benefits sent to an enrollee that contains a remark code indicating a payment made to a non-network physician has been paid at the health benefit plan's allowable or usual and customary amount, a health benefit plan must also include the number for the department's consumer protection division for complaints regarding payment.