Texas § 1272.053 MONITORING PLAN.

Texas Statutes

§ 1272.053 — MONITORING PLAN.

Texas § 1272.053

Code INInsurance Code

This text of Texas § 1272.053 (MONITORING PLAN.) is published on Counsel Stack Legal Research, covering Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Tex. Insurance Code Code Ann. § 1272.053 (2026).

Text

Sec. 1272.053. MONITORING PLAN. A delegation agreement required by Section 1272.052 must establish a monitoring plan that:

(1)allows the health maintenance organization to monitor compliance with the minimum solvency requirements established under Subchapter D, if applicable; and

(2)includes:

(A)a description of financial practices that will ensure that the delegated entity tracks and reports liabilities that have been incurred but not reported;

(B)a summary of the total amount paid by the entity to physicians and providers on a monthly basis; and

(C)a summary of complaints from physicians, providers, and enrollees regarding delays in payment or nonpayment of claims, including the status of each complaint, on a monthly basis.

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Sec. 1272.053. MONITORING PLAN. A delegation agreement required by Section 1272.052 must establish a monitoring plan that:
(1) allows the health maintenance organization to monitor compliance with the minimum solvency requirements established under Subchapter D, if applicable; and
(2) includes:
(A) a description of financial practices that will ensure that the delegated entity tracks and reports liabilities that have been incurred but not reported;
(B) a summary of the total amount paid by the entity to physicians and providers on a monthly basis; and
(C) a summary of complaints from physicians, providers, and enrollees regarding delays in payment or nonpayment of claims, including the status of each complaint, on a monthly basis.