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Terms Used In Texas Insurance Code 1301.161

  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • 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

An insurer may not engage in any retaliatory action against an insured, including canceling or refusing to renew a health insurance policy, because the insured or a person acting on the insured’s behalf has:
(1) filed a complaint against the insurer or against a preferred provider; or
(2) appealed a decision of the insurer.