SB 481, 84th Legislature, Regular Session (2015) amended Insurance Code Chapter 1467 (Out-of-Network Claim Dispute Resolution). As a result, TDI must make conforming changes to 28 TAC Chapter 3, Subchapter X, §3.3705 and §3.3708 and Chapter 21, Subchapter PP. Both the statute and the rules provide for mediation of certain claims by certain facility-based physicians […]
Insurance Code Chapter
The Texas Department of Insurance has proposed §§5.4301 – 5.4309 to implement TWIA voluntary market and assumption reinsurance depopulation plans under Insurance Code Chapter 2210, Subchapter O. The proposal is set for hearing at 10:00 a.m., November 16, 2015. The deadline for submitting written comments is 5:00 p.m., November 23, 2015. The proposal can be […]
Bulletin B-0011-15 announces the annual data call for health care reimbursement rate information under Insurance Code Chapter 38, subchapter H. The rules that implement this subchapter are in Texas Administrative Code, Chapter 21, subchapter KK, and issuers comply with the current rules by submitting the data on form LHL616. However, to improve the quality of […]
TDI has adopted amendments to 28 TAC §§21.3101-21.3107 relating to mandated acquired brain injury coverage. The amendments align the rule with changes to Insurance Code Chapter 1352 made by HB 2929, 83rd Legislature, Regular Session (2013). Please visit TDI’s website at http://www.tdi.texas.gov/rules/2015/index.html to review the adopted rule.
The Texas Department of Insurance is publishing the adopted rule relating to Independent Review Organizations to conform to recent legislation: HB 2645, 83rd Legislature, Regular Session (2013), which amends Insurance Code Chapter 4202. The adopted rule may be found on TDI’s website here: http://www.tdi.texas.gov/rules/2014/parules.html Thank you for your interest and assistance in this process. For […]
The Texas Department of Insurance issues a mandatory data call to all companies writing property, residential, medical malpractice, other general liability, products liability, fidelity, surety, and automobile insurance in Texas. The purpose of this call is to collect information relating to disallowed expenses. Texas Insurance Code §2251.052 prohibits considering disallowed expenses when determining individual company […]