§ 1369.051 Definitions
§ 1369.052 Applicability of Subchapter
§ 1369.053 Exception
§ 1369.054 Notice and Disclosure of Certain Information Required
§ 1369.0541 Modification of Drug Coverage Under Plan
§ 1369.0542 Effect of Reductions in Out-of-Pocket Expenses On Cost Sharing
§ 1369.0545 Step Therapy Protocols
§ 1369.0546 Step Therapy Protocol Exception Requests
§ 1369.0547 Step Therapy Protocols for Prescription Drugs to Treat Serious Mental Illnesses
§ 1369.055 Continuation of Coverage Required; Other Drugs Not Precluded
§ 1369.056 Adverse Determination
§ 1369.057 Rules

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Terms Used In Texas Insurance Code Chapter 1369 > Subchapter B - Requirements Affecting Coverage of Specific Prescription Drugs or Cost Sharing

  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Dependent: A person dependent for support upon another.
  • Effects: includes all personal property and all interest in that property. See Texas Government Code 312.011
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fair market value: The price at which an asset would change hands in a transaction between a willing, informed buyer and a willing, informed seller.
  • Fee simple: Absolute title to property with no limitations or restrictions regarding the person who may inherit it.
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Person: includes corporation, organization, government or governmental subdivision or agency, business trust, estate, trust, partnership, association, and any other legal entity. See Texas Government Code 311.005
  • Population: means the population shown by the most recent federal decennial census. See Texas Government Code 311.005
  • Property: means real and personal property. See Texas Government Code 311.005
  • Trial: A hearing that takes place when the defendant pleads "not guilty" and witnesses are required to come to court to give evidence.
  • United States: includes a department, bureau, or other agency of the United States of America. See Texas Government Code 311.005
  • Written: includes any representation of words, letters, symbols, or figures. See Texas Government Code 311.005
  • Year: means 12 consecutive months. See Texas Government Code 311.005