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TITLE 28INSURANCE
PART 1TEXAS DEPARTMENT OF INSURANCE
CHAPTER 11HEALTH MAINTENANCE ORGANIZATIONS
SUBCHAPTER CAPPLICATION FOR CERTIFICATE OF AUTHORITY
RULE §11.203Revisions During Review Process

(a) Revisions during the review of an application for a certificate of authority must be addressed to: Company Licensing and Registration Office, Mail Code 103-CL, Texas Department of Insurance, P.O. Box 149104, Austin, Texas 78714-9104, or submitted electronically as instructed by the department. The applicant must include a transmittal letter and any revision specified in this subchapter.

(b) Each revision to the basic organizational documents, bylaws, or officers and employees bond must be accompanied by a notarized certification of the corporate secretary or corporate president of the applicant that the revision submitted is true, accurate, and complete, and, if the item is a copy, by a notarized certification that the copy is a true, accurate, and complete copy of the original.

(c) If an electronic file or page is to be revised or replaced, the modified document must be submitted with the changed item or information clearly designated.

(d) Staff will conduct a review of the application and notify the applicant of the need for revisions necessary to meet the requirements of Insurance Code Chapter 843 (concerning Health Maintenance Organizations), this chapter, and other applicable insurance laws and regulations of this state. If the applicant does not make the necessary revisions, the department will deny the application.

(e) If the time required for the revisions will exceed the time limits set out in §1.809 of this title (relating to HMO Certificate of Authority), the applicant must request additional time within which to make the revisions. The applicant must specifically set out the length of time requested, which may not exceed 90 days. The commissioner may grant or deny the request for an extension of time at the commissioner's discretion under §1.809 of this title.

(f) The applicant may request additional extensions, but must set out in writing the need for the additional time for each requested extension. A request must provide sufficient detail for the commissioner to determine if good cause for the extension exists. The commissioner may grant or deny any additional request for an extension of time at the commissioner's discretion.


Source Note: The provisions of this §11.203 adopted to be effective August 1, 2017, 42 TexReg 2169

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