(a) As provided in Insurance Code §1305.251, concerning Examination of Network, a network must pay to the department an examination fee set by the Commissioner for expenses directly attributable to an examination of the network conducted pursuant to Insurance Code §1305.251 or §1305.252, concerning Examination of Provider or Third Party.

(b) The examination fee includes the actual salary and expenses of the examiners directly attributable to the examination.

(1) The actual salary of an examiner is determined by dividing the annual salary of the examiner by the total number of working days in a year, then dividing that amount by the number of hours in a working day. The actual salary included in an examination fee is the part of the annual salary attributable to each hour the examiner examines the network.

(2) The expenses included in an examination fee are those actually incurred by the examiner and directly attributable to the examination, including the actual cost of: (A) transportation; (B) lodging; (C) meals; (D) subsistence expenses; (E) parking fees; and (F) department overhead expenses.

(c) An examination fee paid pursuant to this section is payable and due to the Texas Department of Insurance at the address given on the invoice no later than 30 days from the invoice date.

Source Note: The provisions of this §10.200 adopted to be effective March 25, 2008, 33 TexReg 2541; amended to be effective August 2, 2022, 47 TexReg 4534