Sec. 1501.061.  REQUIREMENTS APPLICABLE TO HEALTH BENEFIT PLAN ISSUERS WITH WHICH COOPERATIVE MAY CONTRACT.  A cooperative may contract only with a small or large employer health benefit plan issuer that demonstrates that the issuer:
(1)  is in good standing with the department;
(2)  has the capacity to administer health benefit plans;
(3)  is able to monitor and evaluate the quality and cost-effectiveness of care and applicable procedures;
(4)  is able to conduct utilization management and establish applicable procedures and policies;
(5)  is able to ensure that enrollees have adequate access to health care providers, including adequate numbers and types of providers;
(6)  has a satisfactory grievance procedure and is able to respond to enrollees' calls, questions, and complaints; and
(7)  has financial capacity, either through satisfying financial solvency standards, as applied by the commissioner, or through appropriate reinsurance or other risk-sharing mechanisms.
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. 11.053(b), eff. September 1, 2005.