Subsequent to receipt of a certificate of authority, no evidence of coverage filing may be amended or altered in any manner, and no new evidence of coverage filing may be used, unless the proposed new or revised evidence of coverage filing has been filed for review and has received the approval of the commissioner. Filing requirements for the evidence of coverage filing when filed subsequent to receipt of a certificate of authority are as follows:

1. (1) The HMO must submit the original of the revised or new evidence of coverage filing, transmittal letter and the HMO transmittal and certification form, addressed to the Texas Department of Insurance, Life, Health & HMO Intake Unit, Mail Code 106-1E, P.O. Box 149104, Austin, Texas 78714-9104.
2. (2) The department will notify the HMO of the department's action in accordance with §1.704 of this title (relating to Summary Procedure; Notice).
3. (3) The department will base its approval or disapproval on the content of drafts submitted to the department. Printing must comply with the specifications described in §11.505 of this title (relating to Specifications for the Evidence of Coverage). Any discrepancy in content between the final print to be issued and the approved draft is grounds for revocation of certificate of authority.
4. (4) The review period for an evidence of coverage filing filed begins on the date on which an acceptable, typed draft of the form is received.
5. (5) The review period may be extended upon 30 days written notice of such extension to the HMO before the expiration of the initial review period.
6. (6) At the end of the review period, the evidence of coverage filing is considered approved unless it has already been either affirmatively approved or disapproved by the commissioner.

Source Note:The provisions of this §11.503 adopted to be effective January 1, 1980, 4 TexReg 4622; amended to be effective December 4, 1987, 12 TexReg 4363; amended to be effective August 17, 1992, 17 TexReg 5356; amended to be effective November 2, 1998, 23 TexReg 11347; amended to be effective February 24, 2005, 30 TexReg 854; amended to be effective November 15, 2006, 31 TexReg 9298.