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Insurance, State Board Of

Summaries

GA-0040
Greg Abbott

Balance billing, whether physician may bill health maintenance organization enrollee for unpaid balance and whether Department of Insurance may enforce provisions of Health Maintenance Organization Act against such physicians|Balance billing, whether physicians who are not under contract with a health maintenance organization may bill HMO enrollee for unpaid balance and whether Department of Insurance may enforce provisions of Health Maintenance Organization Act against such p|Balance billing, authority to enforce provisions of Health Maintenance Organization Act against physicians who are not under contract with an HMO and who bill HMO enrollee for unpaid balance

GA-0045
Greg Abbott

Reciprocal exchange insurers are exempt from article 21.49-2C of the Insurance Code, and therefore not subject to a moratorium issued by the Commissioner of Insurance|Reciprocal insurance exchanges, such as Farmers Insurance Exchange and Fire Insurance Exchange, are not required to file withdrawal plans in order to withdraw from the homeowners' insurance market|Refusal of reciprocal exchange insurers to renew policies of homeowners would not violate state law provided that the exchanges follow statutory notice procedure|Refusal to renew policies of homeowners, reciprocal exchange insurers would not violate state law by their refusal, provided that the exchanges follow statutory notice procedure|Moratorium issued by the Commissioner of Insurance, reciprocal exchange insurers are exempt from article 21.49-2C of Insurance Code and therefore not subject to

GA-0047
Greg Abbott

Mental health parity, applicability of Insurance Code provisions requiring municipal risk pool|Pregnancy as preexisting condition, applicability of Insurance Code provisions requiring to municipal risk pool|Immunizations required for children through age six, municipality may not charge deductible of covered children even if received from non-network provider|Municipal risk pool, applicability of statutes requiring mental health parity, prohibiting treating pregnancy as preexisting condition, and prohibiting risk pool from charging deductible for covered child's required immunizations|Immunizations, municipal risk pool may not charge deductible for those required for children through age six even if received from non-network provider|Municipal risk pool, Department's jurisdiction over with respect to mental health parity requirements, use of pregnancy as preexisting condition, and charging deductible for covered child's required immunizations|Risk pool, applicability of Insurance Code provisions requiring mental health parity, prohibiting treating pregnancy as a preexisting condition, and prohibiting charging deductible for covered child's required immunizations|Deductible

GA-0135
Greg Abbott

Corporate surety, Insurance Code governs use of assumed name|Assumed name, in county with a bail bond board, a corporate surety may not use more than one assumed name, but may operate through various individual agents, each using a different assumed name|Assumed name, in county with a bail bond board, individual who acts as a bail bond surety or as an agent for a corporate surety may operate under an assumed name, but may not use more than one assumed name

DM-0033
Dan Morales

Experience ratings, effect of 1991 amendments to Insurance Code on State Board of Insurance's authority to use in rating insurers | Lloyd's plans or interinsurance exchanges, 1991 amendments to Insurance Code apply to | Experience ratings, effect of 1991 amendments to Insurance Code on Board's authority to use in rating insurers

DM-0135
Dan Morales

Texas Automobile Insurance Plan, rule vesting amendment power over in group of private insurers is unconstitutional delegation of legislative authority|Texas Automobile Insurance Plan, Board has ultimate rule-making authority over

DM-0314
Dan Morales

Viatical settlements, constitutionality of statute authorizing Department of Insurance to regulate|Viatical settlements, constitutionality of statute authorizing Department to regulate

JC-0502
John Cornyn

Physician and health provider claims for payment, Department of Insurance may construe prompt payment provisions requiring preferred provider organizations and health maintenance organizations to disclose to physicians and other health care providers util|Physician and health providers claims for payment, Department may construe prompt payment provisions requiring preferred provider organizations and health maintenance organizations to disclose to physicians and other health care providers utilization revi

JC-0559
John Cornyn

Nonprofit health corporations certified by Texas State Board of Medical Examiners, authority to examine|Nonprofit health corporations certified by Texas State Board of Medical Examiners, authority of Department of Insurance to examine

JM-1223
Jim Mattox

Terms "reside" and "resident," authority of Board or guaranty association to define; terms do not necessarily require United States citizenship|Statutory terms "reside" and "resident" do not necessarily require United States citizenship