Texas § 4151.117 COMPENSATION OF ADMINISTRATOR.

Texas Statutes

§ 4151.117 — COMPENSATION OF ADMINISTRATOR.

Texas § 4151.117

Code INInsurance Code

This text of Texas § 4151.117 (COMPENSATION OF ADMINISTRATOR.) 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. § 4151.117 (2026).

Text

Sec. 4151.117. COMPENSATION OF ADMINISTRATOR.

(a)An administrator's compensation may be determined:

(1)as a percentage of the premiums or charges the administrator collects or the amount of claims the administrator pays or processes; or

(2)except as provided by Subsection (b), on another basis as specified in the written agreement.

(b)An insurer or plan sponsor may not permit or provide compensation or another thing of value to an administrator that is based on the savings accruing to the insurer or plan sponsor because of adverse determinations regarding claims for benefits, reductions of or limitations on benefits, or other analogous actions inconsistent with this chapter, that are made or taken by the administrator. SUBCHAPTER D. PHARMACY BENEFIT PLANS

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Sec. 4151.117. COMPENSATION OF ADMINISTRATOR. (a) An administrator's compensation may be determined:
(1) as a percentage of the premiums or charges the administrator collects or the amount of claims the administrator pays or processes; or
(2) except as provided by Subsection (b), on another basis as specified in the written agreement.
(b) An insurer or plan sponsor may not permit or provide compensation or another thing of value to an administrator that is based on the savings accruing to the insurer or plan sponsor because of adverse determinations regarding claims for benefits, reductions of or limitations on benefits, or other analogous actions inconsistent with this chapter, that are made or taken by the administrator.
SUBCHAPTER D. PHARMACY BENEFIT PLANS

Legislative History

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 7, eff. April 1, 2005. Amended by: Acts 2007, 80th Leg., R.S., Ch. 1176 (H.B. 472 ), Sec. 1.15, eff. September 1, 2007.