78R8165 T
By: Farabee H.B. No. 1798
A BILL TO BE ENTITLED
AN ACT
relating to health maintenance organizations.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Article 20A.09, Insurance Code, Subsection (a)
is amended to read as follows:
EVIDENCE OF COVERAGE AND CHARGES. (a) Every enrollee
residing in this state is entitled to evidence of coverage under a
health care plan. If the enrollee obtains coverage under a health
care plan through an insurance policy or a contract issued by a
group hospital corporation, whether by option or otherwise, the
insurer or the group hospital service corporation shall issue the
evidence of coverage. Otherwise, the health maintenance
organization shall issue the evidence of coverage. By agreement
between the insurer, group hospital service corporation, or the
health maintenance organization, and the subscriber, or the person
entitled to receive the policy, contract, or evidence of coverage,
the evidence of coverage required by this section may be delivered
by electronic transfer.
SECTION 2. This Act takes effect September 1, 2003.