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Texas Insurance Code - INS § 1662.055. Physical Copy of Disclosure

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

(a) A health benefit plan issuer or administrator shall make the disclosure required under this subchapter available in a physical form.  A disclosure under this section must be made available in plain language, without a fee, at the request of the enrollee.

(b) In providing a disclosure under this section, a health benefit plan issuer or administrator may limit the number of health care providers with respect to which cost-sharing information for a covered health care service or supply is provided to no fewer than 20 providers per request.

(c) A health benefit plan issuer or administrator providing a disclosure under this section shall:

(1) disclose any applicable provider-per-request limit described by Subsection (b) to the enrollee;

(2) provide the cost-sharing information in a physical form in accordance with the enrollee's request as if the request was made using a self-service tool under Section 1662.054;  and

(3) mail the disclosure not later than two business days after the date the enrollee's request is received.

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Cite this article: FindLaw.com - Texas Insurance Code - INS § 1662.055. Physical Copy of Disclosure - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-1662-055/

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