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Texas Insurance Code - INS § 4151.0021. Applicability to Certain Processing Agents

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

(a) In this section, “processing agent” means a person described by Section 413.0111, Labor Code.

(b) A processing agent is not an administrator for purposes of this chapter if the processing agent is acting as an assignee of a pharmacy and if:

(1) the assignee has a written contract with the pharmacy to:

(A) act as the provider of licensed pharmacy services in lieu of the pharmacy;  and

(B) purchase the pharmacy's claims at face value, or at a value expressly stated in the contract;  and

(2) the contract specifically prohibits the assignee from performing any function of an administrator, as that term is defined in this chapter, unless the assignee holds a certificate of authority under this chapter.

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Cite this article: FindLaw.com - Texas Insurance Code - INS § 4151.0021. Applicability to Certain Processing Agents - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-4151-0021/

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