- (a) Prior to obtaining a certificate of authority under Section 534.101, Health and Safety Code (concerning Health Maintenance Organizations Certificate of Authority), an applicant CHMO must comply with each requirement for the issuance of a certificate of authority imposed on a limited health care service plan under Insurance Code Chapters 20A and 843; this chapter; and applicable insurance laws and regulations of this state.
- (b) A CHMO with a certificate of authority must comply with all the appropriate requirements that a limited health care service plan must comply with under Insurance Code Chapters 20A and 843; this chapter; and applicable insurance laws and regulations of this state to maintain a certificate of authority. A CHMO shall be subject to the same statutes and rules as a limited service HMO and considered a limited service HMO for purposes of regulation and regulatory enforcement.
- (c) Nothing in this subchapter precludes one or more community centers from forming a nonprofit corporation under §162.001, Medical Practice Act, Chapters 151- 164, Occupations Code, to provide services on a risk-sharing or capitated basis as permitted under Insurance Code Chapter 844.
- (d) This subchapter does not apply to an activity exempt from regulation under Insurance Code §§843.051, 843.053, 843.073, and 843.318.
Source Note:The provisions of this §11.2103 adopted to be effective June 10, 1999, 24 TexReg 4242; amended to be effective February 24, 2005, 30 TexReg 854.