Code: 

Insurance Code

Title: 

Title 8. Health Insurance and Other Health Coverages

Section: 

1305.403

Name: 

Record of Complaints

Eff. Date: 

September 1, 2005

No Rule Reference

§1305.403
Record of Complaints

(a) Each network shall maintain a complaint and appeal log regarding each complaint. The commissioner shall adopt rules designating the classification of network complaints under this section.

(b) Each network shall maintain a record of and documentation on each complaint, complaint proceeding, and action taken on the complaint until the third anniversary of the date the complaint was received.

(c) A complainant is entitled to a copy of the network’s record regarding the complaint and any proceeding relating to that complaint.

(d) The department, during any investigation or examination of a network, may review documentation maintained under this subchapter, including original documentation, regarding a complaint and action taken on the complaint.

Added by Acts 2005, 79th Leg., ch. 265, § 4.02, eff. Sept. 1, 2005.