1305.102
(a) A network may not enter into a contract with another entity for management services unless the proposed contract is first filed with the department and approved by the commissioner. (b) The commissioner shall approve or disapprove the contract not later than the 30th day after the date the contract is filed, or within a […]
1305.054
(a) The commissioner shall approve or disapprove an application for certification as a network not later than the 60th day after the date the completed application is received by the department. An application is considered complete on receipt of all information required by this chapter and any commissioner rules, including receipt of any additional information […]
1305.055
A network is not an insurer and may not use in the network’s name or informational literature the word “insurance,” “casualty,” “surety,” or “mutual” or any other word that is: (1) descriptive of the insurance, casualty, or surety business; or (2) deceptively similar to the name or description of an insurer or surety corporation engaging […]
1305.007
The commissioner may adopt rules as necessary to implement this chapter. Added by Acts 2005, 79th Leg., ch. 265, § 4.02, eff. Sept. 1, 2005.
1305.051
(a) A person may not operate a workers’ compensation health care network in this state unless the person holds a certificate issued under this chapter and rules adopted by the commissioner. (b) A person may not perform any act of a workers’ compensation health care network except in accordance with the specific authorization of this […]
1305.052
(a) A person who seeks to operate as a workers’ compensation health care network shall apply to the department for a certificate to organize and operate as a network. (b) A certificate application must be: (1) filed with the department in the form prescribed by the commissioner; (2) verified by the applicant or an officer […]
1305.005
(a) An employer that elects to provide workers’ compensation insurance coverage under the Texas Workers’ Compensation Act may receive workers’ compensation health care services for the employer’s injured employees through a workers’ compensation health care network. (b) An insurance carrier may establish or contract with networks certified under this chapter to provide health care services […]
1305.006
An insurance carrier that establishes or contracts with a network is liable for the following out-of-network health care that is provided to an injured employee: (1) emergency care; (2) health care provided to an injured employee who does not live within the service area of any network established by the insurance carrier or with which […]
1305.001
This chapter may be cited as the Workers’ Compensation Health Care Network Act. Added by Acts 2005, 79th Leg., ch. 265, § 4.02, eff. Sept. 1, 2005.
1305.002
The purpose of this chapter is to: (1) authorize the establishment of workers’ compensation health care networks for the provision of workers’ compensation medical benefits; and (2) provide standards for the certification, administration, evaluation, and enforcement of the delivery of health care services to injured employees by networks contracting with or established by: (A) workers’ […]