Texas Occupations Code 160.052 – Report From Insurer or Physician
(a) Each insurer shall submit to the board the report or other information described by § 160.053 at the time prescribed. The insurer shall provide the report or information with respect to:
(1) a complaint filed against an insured in a court, if the complaint seeks damages relating to the insured’s conduct in providing or failing to provide a medical or health care service; and
(2) settlement of a claim without the filing of a lawsuit or settlement of a lawsuit made on behalf of the insured involving damages relating to the insured’s conduct in providing or failing to provide a medical or health care service.
(b) A physician practicing medicine in this state shall report the information required under § 160.053 if the physician:
(1) does not carry or is not covered by medical professional liability insurance; or
(2) is insured by a nonadmitted carrier or other entity providing medical liability insurance that is not reporting under this subchapter.
Terms Used In Texas Occupations Code 160.052
- Board: means the Texas Medical Board. See Texas Occupations Code 151.002
- Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
- Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
- Lawsuit: A legal action started by a plaintiff against a defendant based on a complaint that the defendant failed to perform a legal duty, resulting in harm to the plaintiff.
- Physician: means a person licensed to practice medicine in this state. See Texas Occupations Code 151.002
- Practicing medicine: means the diagnosis, treatment, or offer to treat a mental or physical disease or disorder or a physical deformity or injury by any system or method, or the attempt to effect cures of those conditions, by a person who:
(A) publicly professes to be a physician or surgeon; or
(B) directly or indirectly charges money or other compensation for those services. See Texas Occupations Code 151.002 - 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.