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Texas Insurance Code - INS § 847.007. Duties of Commissioner of Insurance

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

(a) In conducting an examination of a health benefit plan issuer, the commissioner:

(1) shall accept the accreditation report submitted by the health benefit plan issuer as a prima facie demonstration of the issuer's compliance with the processes and standards for which the issuer has received accreditation; and

(2) may adopt relevant findings in a health benefit plan issuer's accreditation report in the examination report if the accreditation report complies with applicable state and federal requirements regarding the nondisclosure of proprietary and confidential information and personal health information.

(b) Subsection (a) does not apply to any process or standard of a health benefit plan issuer that is not covered as part of the issuer's accreditation. This section does not set minimum quality standards but operates only as a replacement of duplicate requirements.

(c) The commissioner may by rule determine the application of compliance with national accreditation requirements by a delegated entity, delegated third party, or utilization review agent to compliance by the health benefit plan issuer that contracts with the delegated entity, delegated third party, or agent.

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Cite this article: FindLaw.com - Texas Insurance Code - INS § 847.007. Duties of Commissioner of Insurance - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-847-007/

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