Texas § 1301.109 APPLICABILITY TO ENTITIES CONTRACTING WITH INSURER.

Texas Statutes

§ 1301.109 — APPLICABILITY TO ENTITIES CONTRACTING WITH INSURER.

Texas § 1301.109

Code INInsurance Code

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Bluebook

Tex. Insurance Code Code Ann. § 1301.109 (2026).

Text

Sec. 1301.109. APPLICABILITY TO ENTITIES CONTRACTING WITH INSURER. This subchapter applies to a person, including a pharmacy benefit manager, with whom an insurer contracts to:

(1)process or pay claims;

(2)obtain the services of physicians and health care providers to provide health care services to insureds; or

(3)issue verifications or preauthorizations. SUBCHAPTER C-1. OTHER PROVISIONS RELATING TO PAYMENT OF CLAIMS

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Sec. 1301.109. APPLICABILITY TO ENTITIES CONTRACTING WITH INSURER. This subchapter applies to a person, including a pharmacy benefit manager, with whom an insurer contracts to:
(1) process or pay claims;
(2) obtain the services of physicians and health care providers to provide health care services to insureds; or
(3) issue verifications or preauthorizations.
SUBCHAPTER C-1. OTHER PROVISIONS RELATING TO PAYMENT OF CLAIMS

Legislative History

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005. Amended by: Acts 2005, 79th Leg., Ch. 728 (H.B. 2018 ), Sec. 11.037(a), eff. September 1, 2005. Acts 2011, 82nd Leg., R.S., Ch. 798 (H.B. 2292 ), Sec. 11, eff. September 1, 2011.