Texas § 1272.063 ENROLLEE COMPLAINTS.

Texas Statutes

§ 1272.063 — ENROLLEE COMPLAINTS.

Texas § 1272.063

Code INInsurance Code

This text of Texas § 1272.063 (ENROLLEE COMPLAINTS.) 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. § 1272.063 (2026).

Text

Sec. 1272.063. ENROLLEE COMPLAINTS.

(a)A delegation agreement required by Section 1272.052 must provide that:

(1)if the delegated entity receives a complaint that does not involve emergency care, the entity shall report the complaint to the health maintenance organization not later than the second business day after the date the entity receives the complaint; and

(2)if the delegated entity receives a complaint involving emergency care, the entity shall immediately forward the complaint to the health maintenance organization.

(b)Subsection (a) does not prohibit a delegated entity from attempting to resolve a complaint.

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Sec. 1272.063. ENROLLEE COMPLAINTS. (a) A delegation agreement required by Section 1272.052 must provide that:
(1) if the delegated entity receives a complaint that does not involve emergency care, the entity shall report the complaint to the health maintenance organization not later than the second business day after the date the entity receives the complaint; and
(2) if the delegated entity receives a complaint involving emergency care, the entity shall immediately forward the complaint to the health maintenance organization.
(b) Subsection (a) does not prohibit a delegated entity from attempting to resolve a complaint.