Code: 

Insurance Code

Title: 

Title 14. Utilization Review and Independent Review

Section: 

4201.051

Name: 

Persons Providing Information About Scope of Coverage or Benefits

Eff. Date: 

September 1, 2009
§4201.051
Persons Providing Information About Scope of Coverage or Benefits

This chapter does not apply to a person who:

(1) provides information to an enrollee about scope of coverage or benefits provided under a health insurance policy or health benefit plan; and

(2) does not determine whether a particular health care service provided or to be provided to an enrollee is:

(A) medically necessary or appropriate; or

(B) experimental or investigational.

Added by Acts 2005, 79th Leg., ch. 727, § 4, eff. April 1, 2007. Amended by Acts 2009, 81st Leg., ch. 1330, § 8, eff. Sept. 1, 2009.