Texas § 848.002 EXCEPTION: DELEGATED ENTITIES.

Texas Statutes

§ 848.002 — EXCEPTION: DELEGATED ENTITIES.

Texas § 848.002

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Bluebook

Tex. Insurance Code Code Ann. § 848.002 (2026).

Text

Sec. 848.002. EXCEPTION: DELEGATED ENTITIES.

(a)This section applies only to an entity, other than a health maintenance organization, that:

(1)by itself or through a subcontract with another entity, undertakes to arrange for or provide medical care or health care services to enrollees in exchange for predetermined payments on a prospective basis; and

(2)accepts responsibility for performing functions that are required by:

(A)Chapter 222 , 251 , 258 , or 1272 , as applicable, to a health maintenance organization; or

(B)Chapter 843 , Chapter 1271 , Section 1367.053 , Subchapter A , Chapter 1452 , or Subchapter B, Chapter 1507 , as applicable, solely on behalf of health maintenance organizations.

(b)An entity described by Subsection (a) is subject to Chapter 1272 and is not required to

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Sec. 848.002. EXCEPTION: DELEGATED ENTITIES. (a) This section applies only to an entity, other than a health maintenance organization, that:
(1) by itself or through a subcontract with another entity, undertakes to arrange for or provide medical care or health care services to enrollees in exchange for predetermined payments on a prospective basis; and
(2) accepts responsibility for performing functions that are required by:
(A) Chapter 222 , 251 , 258 , or 1272 , as applicable, to a health maintenance organization; or
(B) Chapter 843 , Chapter 1271 , Section 1367.053 , Subchapter A , Chapter 1452 , or Subchapter B, Chapter 1507 , as applicable, solely on behalf of health maintenance organizations.
(b) An entity described by Subsection (a) is subject to Chapter 1272 and is not required to obtain a certificate of authority or determination of approval under this chapter.