(a) If a health maintenance organization becomes aware of information that indicates a delegated entity with which the health maintenance organization has entered into a delegation agreement is not operating in accordance with the agreement or is operating in a condition that renders continuing the entity’s business hazardous to the enrollees, the health maintenance organization shall in writing:
(1) notify the entity of those findings; and
(2) request a written explanation and documentation supporting that explanation of the entity’s apparent noncompliance or the existence of the hazardous condition.
(b) A health maintenance organization shall provide to the commissioner a copy of each notice and request submitted to a delegated entity under this section and each response or other documentation the health maintenance organization receives or generates in response to the notice and request.

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Terms Used In Texas Insurance Code 1272.202