Texas Insurance Code 1272.153 – Reserve Requirements for Medical Care and Hospital or Institutional Services
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Terms Used In Texas Insurance Code 1272.153
- Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
A delegated network that assumes under a delegation agreement both medical care and hospital or institutional services shall maintain reserves adequate to cover the liabilities and risks associated with medical care or hospital or institutional services, whichever category of services is allocated the largest portion of the premium by the health maintenance organization.