(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.
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