28 Tex. Admin. Code § 3.3502
Form COB TX is filed with the Office of the Secretary of State, Texas Register Section, and adopted and incorporated in these rules by reference. It can be obtained from the Texas Department of Insurance, Publications Department, MC 108-5A, P.O. Box 149104, Austin, Texas 78714-9104. Form COB TX is the prototype form for coordination of benefits.
Source Note:The provisions of this §3.3502 adopted to be effective June 3, 1994, 19 TexReg 3938.