§ 1301.001 Definitions
§ 1301.002 Nonapplicability to Dental Care Benefits
§ 1301.003 Preferred Provider Benefit Plans and Exclusive Provider Benefit Plans Permitted
§ 1301.0041 Applicability
§ 1301.0042 Applicability of Insurance Law
§ 1301.0045 Construction of Chapter
§ 1301.0046 Coinsurance Requirements for Services of Nonpreferred Providers
§ 1301.005 Availability of Preferred Providers; Service Area Limitations
§ 1301.0051 Exclusive Provider Benefit Plans: Quality Improvement and Utilization Management
§ 1301.0052 Exclusive Provider Benefit Plans: Referrals for Medically Necessary Services
§ 1301.0053 Exclusive Provider Benefit Plans: Emergency Care
§ 1301.0055 Network Adequacy Standards
§ 1301.00553 Maximum Travel Time and Distance Standards by Preferred Provider Type
§ 1301.00554 Other Maximum Distance Standard Requirements; Commissioner Authority
§ 1301.00555 Maximum Appointment Wait Time Standards
§ 1301.0056 Examinations and Fees
§ 1301.00565 Public Hearing On Network Adequacy Standards Waivers
§ 1301.00566 Effect of Network Adequacy Standards Waiver On Balance Billing Prohibitions
§ 1301.0057 Access to Out-of-Network Providers
§ 1301.0058 Protected Communications by Preferred Providers
§ 1301.006 Availability of and Accessibility to Health Care Services
§ 1301.0061 Terms of Enrollee Eligibility
§ 1301.007 Rules
§ 1301.008 Conflict With Other Law
§ 1301.009 Annual Report
§ 1301.010 Balance Billing Prohibition Notice
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Terms Used In Texas Insurance Code Chapter 1301 > Subchapter A - General Provisions

  • 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.
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Dependent: A person dependent for support upon another.
  • Effects: includes all personal property and all interest in that property. See Texas Government Code 312.011
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • in writing: includes any representation of words, letters, or figures, whether by writing, printing, or other means. See Texas Government Code 312.011
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
  • Month: means a calendar month. See Texas Government Code 312.011
  • Mortgage: The written agreement pledging property to a creditor as collateral for a loan.
  • 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
  • Personal property: All property that is not real property.
  • Population: means the population shown by the most recent federal decennial census. See Texas Government Code 311.005
  • Property: means real and personal property. See Texas Government Code 311.005
  • Rule: includes regulation. See Texas Government Code 311.005
  • Subpoena: A command to a witness to appear and give testimony.
  • Testimony: Evidence presented orally by witnesses during trials or before grand juries.
  • United States: includes a department, bureau, or other agency of the United States of America. See Texas Government Code 311.005
  • Week: means seven consecutive days. See Texas Government Code 311.005
  • Written: includes any representation of words, letters, symbols, or figures. See Texas Government Code 311.005
  • Year: means 12 consecutive months. See Texas Government Code 311.005