(a) An insurer may not deliver, renew, or issue for delivery in this state a health insurance policy that prohibits or restricts a covered person from making a written assignment of benefits to a physician or other health care provider who provides health care services to the person.
(b) This section does not:
(1) provide a coverage or benefit that is not otherwise available under the health insurance policy;
(2) allow assignment of a benefit to:
(A) a person who is not legally entitled to receive such a direct payment; or
(B) another person if, under the health insurance policy or plan, the benefit must be provided to the covered person by a physician or other health care provider who is a contractor or preferred provider under the policy; or
(3) prohibit an insurer from verifying, through the insurer’s normal process, the health care services the physician or other health care provider provides to the covered person.

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Terms Used In Texas Insurance Code 1204.053

  • 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
  • Written: includes any representation of words, letters, symbols, or figures. See Texas Government Code 311.005