Texas Insurance Code 1305.401 – Complaint System Required
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(a) Each network shall implement and maintain a complaint system that provides reasonable procedures to resolve an oral or written complaint.
(b) The network may require a complainant to file the complaint not later than the 90th day after the date of the event or occurrence that is the basis for the complaint.
Terms Used In Texas Insurance Code 1305.401
- 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.
- Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
- Written: includes any representation of words, letters, symbols, or figures. See Texas Government Code 311.005
(c) The complaint system must include a process for the notice and appeal of a complaint.
(d) The commissioner may adopt rules as necessary to implement this section.