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Texas Insurance Code - INS § 1551.066. Information Relating to Misconduct

Current as of January 01, 2024 | Updated by Findlaw Staff

(a) This section applies to:

(1) the Employees Retirement System of Texas;

(2) a carrier or other insurance company or health maintenance organization;

(3) an administering firm or other insurance support organization that provides information or services to the group benefits program or the Employees Retirement System of Texas;

(4) an agent or third-party administrator authorized under this chapter or licensed under this code;

(5) a regulatory authority or department; and

(6) a board member, executive director, employee, auditor, or actuary of an entity described by this section.

(b) A person may collect from, furnish to, or exchange with another person information, including medical records or other confidential information, to the extent the person considers necessary to detect or to impose a sanction for a criminal act, a misrepresentation, or nondisclosure that is related to an attempt to obtain coverage, payment, reimbursement, or a benefit under this chapter.

(c) A person who acts under Subsection (b) is immune from suit and criminal or civil liability unless the person acts with malice or intent to defraud.

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Cite this article: FindLaw.com - Texas Insurance Code - INS § 1551.066. Information Relating to Misconduct - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-1551-066/

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