Texas Labor Code 415.0035 – Additional Violations by Insurance Carrier or Health Care Provider
Current as of: 2024 | Check for updates
|
Other versions
(a) An insurance carrier or its representative commits an administrative violation if that person:
(1) fails to submit to the division a settlement or agreement of the parties;
(2) fails to timely notify the division of the termination or reduction of benefits and the reason for that action; or
(3) denies preauthorization in a manner that is not in accordance with rules adopted by the commissioner under Section 413.014.
(b) A health care provider commits an administrative violation if that person:
(1) fails or refuses to timely file required reports or records; or
(2) fails to file with the division the annual disclosure statement required by Section 413.041.
Terms Used In Texas Labor Code 415.0035
- 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
- Rule: includes regulation. See Texas Government Code 311.005
- Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
(c) Repealed by Acts 2011, 82nd Leg., R.S., Ch. 1162, Sec. 37(2), eff. September 1, 2011.
(d) Repealed by Acts 2011, 82nd Leg., R.S., Ch. 1162, Sec. 37(2), eff. September 1, 2011.
(e) A person regulated by the division under this title commits an administrative violation if the person violates this subtitle or a rule, order, or decision of the commissioner.
(f) Repealed by Acts 2011, 82nd Leg., R.S., Ch. 1162, Sec. 37(2), eff. September 1, 2011.