Texas Insurance Code 4151.0021 – Applicability to Certain Processing Agents
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(a) In this section, “processing agent” means a person described by Section 413.0111, Labor Code.
(b) A processing agent is not an administrator for purposes of this chapter if the processing agent is acting as an assignee of a pharmacy and if:
(1) the assignee has a written contract with the pharmacy to:
(A) act as the provider of licensed pharmacy services in lieu of the pharmacy; and
(B) purchase the pharmacy’s claims at face value, or at a value expressly stated in the contract; and
(2) the contract specifically prohibits the assignee from performing any function of an administrator, as that term is defined in this chapter, unless the assignee holds a certificate of authority under this chapter.
Terms Used In Texas Insurance Code 4151.0021
- Contract: A legal written agreement that becomes binding when signed.
- 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