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TITLE 28INSURANCE
PART 1TEXAS DEPARTMENT OF INSURANCE
CHAPTER 5PROPERTY AND CASUALTY INSURANCE
SUBCHAPTER BINSURANCE CODE, CHAPTER 5, SUBCHAPTER B
DIVISION 5PROCEDURES FOR RECONSIDERATION OF RATES OR PREMIUMS CHARGED A PHYSICIAN OR HEALTH CARE PROVIDER FOR MEDICAL PROFESSIONAL LIABILITY INSURANCE
RULE §5.1501Procedure for Reconsideration

Each insurer covered by the Insurance Code, Article 5.15-1, shall adopt a procedure for reconsideration of the rate or premium charged a physician or health care provider, as defined in §2 of said article, for professional liability insurance coverage. The procedure so adopted must:

  (1) afford any insured physician or health care provider the opportunity to file a written grievance with, or request a hearing before, officers or employees of the insurer who have responsibility for determining rates and premiums to be charged for professional liability insurance;

  (2) require that the insurer reconsider the rate or premium of the insured physician or health care provider;

  (3) require the insurer to provide a written explanation of the rate or premium being charged; and

  (4) provide that the insurer shall file a copy of any grievance or request for hearing, together with the insurer's response thereto, with the Professional Liability Division of the State Board of Insurance.


Source Note: The provisions of this §5.1501 adopted to be effective September 19, 1990, 15 TexReg 5137.

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