Except as provided by Labor Code §504.053(b)(2):
(1) A person may not operate or perform any act of a workers' compensation health care network in this state:
- (A) unless the person holds a certificate issued under Insurance Code Chapter 1305 and this chapter, or
- (B) except in accordance with the specific authorization of Insurance Code Chapter 1305 or this chapter.
- (2) A person, including an insurance carrier, who provides or arranges to provide workers' compensation health care network services to injured employees within a service area by contracting with more than one person, must be certified as a workers' compensation health care network under Insurance Code Chapter 1305 and this chapter.
- (3) An entity performing any act of a workers' compensation health care network may not use in a network's name or in any informational literature distributed about a network any combination or variation of the words "workers' compensation," "certified," "managed care," or "network" to describe a network that is not certified in accordance with this chapter.
Source Note:The provisions of this §10.20 adopted to be effective December 5, 2005, 30 TexReg 8099.