1. (a) Each limited service HMO shall provide uniquely described services with any corresponding copayments for each covered service and benefit and shall provide a limited health care service plan as defined under Insurance Code Article 20A.02(l). Each limited service HMO must comply with all requirements for a limited health care service plan specified in this subchapter.
2. (b) Each limited service HMO schedule of enrollee copayments shall specify an appropriate description of covered services and benefits and may specify recognized procedure codes or other information which is used for the purpose of maintaining a statistical reporting system, as required under §11.1606 of this title (relating to Organization of an HMO and Service Area).
3. (c) Each limited HMO evidence of coverage shall include a glossary of terminology defining the terms, including but not limited to, such terms used in the evidence of coverage required by §11.501 of this title (relating to Evidence of Coverage). Such glossary shall be included in the information to prospective and current group contract holders and enrollees, as required under Insurance Code Article 20A.11.
4. (d) In the event of a conflict between the provisions of this subchapter and other provisions of Chapter 11 of this title (relating to Health Maintenance Organizations), this subchapter prevails with regard to limited service HMOs. It is not considered a conflict if a topic that is not addressed in this subchapter appears elsewhere in Chapter 11 of this title.

Source Note:The provisions of this §11.2402 adopted to be effective February 14, 1999, 24 TexReg 726.