28 Tex. Admin. Code § 11.701
Must Be Filed Prior to Use
Effective Nov 2, 199823 TexReg 11347Source Note: The provisions of this §11.701 adopted to be effective January 1, 1980, 4 TexReg 4626; amended to be effective December 4, 1987, 12 TexReg 4364; amended to be effective August 17, 1992, 17 TexReg 5359; amended to be effective November 2, 1998, 23 TexReg 11347.Texas Secretary of State
- (a) No schedule of charges, formula or method for calculating the schedule of charges, as defined in §11.2(b) of this title (relating to Definitions), may be used until a copy of such formula or method for calculating the schedule of charges with supporting documentation as required by §11.703 of this title (relating to Supporting Documentation) has been filed with the commissioner.
- (b) The schedule of charges shall include all charges made for group, conversion or individual coverage, except for any fee collected as an administrative-service only fee, whereby the HMO assumes no risk.
- (c) Each filing must be accompanied by the HMO reconciliation of benefits to schedule of charges form. This information may be substituted in the form of a computer printout.
Source Note:The provisions of this §11.701 adopted to be effective January 1, 1980, 4 TexReg 4626; amended to be effective December 4, 1987, 12 TexReg 4364; amended to be effective August 17, 1992, 17 TexReg 5359; amended to be effective November 2, 1998, 23 TexReg 11347.