(ix) a copy of a fingerprint receipt from the state
authorized fingerprint collection vendor for each individual that
uses the electronic fingerprint process;
(x) an acknowledgment from each individual whose biographical
information is required under Insurance Code §7001.005(a)(2)
and this section that the fingerprints provided will be used to check
criminal history records of the Texas Department of Public Safety
and the Federal Bureau of Investigation; and
(xi) compliance with the requirements of Chapter 1,
Subchapter D, of this title (relating to Effect of Criminal Conduct)
relating to fingerprint requirements for a criminal background check
under Insurance Code §7001.008, concerning Criminal Background
Check.
(b) Registration Application Forms. The discount health
care program operator registration application forms are available
at www.tdi.texas.gov/forms/form11dhcpo.html and at the Agent and Adjuster
Licensing Office of the Texas Department of Insurance's mailing address.
(c) Submission of Registration Application Forms. The
following paragraphs apply to the submission of discount health care
program operator registration application forms.
(1) Except for the list of marketers required under
Insurance Code §7001.005(a)(4) and this section, a discount health
care program operator must submit the registration application forms
by:
(A) mail, to the Texas Department of Insurance, Agent
and Adjuster Licensing Office's mailing address;
(B) email to TDI-DiscountHealth@tdi.texas.gov;
(C) in other formats that are acceptable to the department
including an electronic format; or
(D) more current mailing addresses, email addresses,
and telephone numbers for the Agent and Adjuster Licensing Office
of the Texas Department of Insurance as made available on the department's
website.
(2) A discount health care program operator must submit
the list of the marketers in the format found on the department's
website via email to TDI-DiscountHealth@tdi.texas.gov.
(3) Assistance with applying for registration as a
discount health care program operator is available at the department's
Agent and Adjuster Licensing Office Customer Service phone line at
512-676-6500, email address at license@tdi.texas.gov, and the department's
website.
(d) The registration is valid for one year from the
date issued by the department and is required to be renewed annually.
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