<<Prev Rule

Texas Administrative Code

Next Rule>>
TITLE 28INSURANCE
PART 1TEXAS DEPARTMENT OF INSURANCE
CHAPTER 21TRADE PRACTICES
SUBCHAPTER TSUBMISSION OF CLEAN CLAIMS
RULE §21.2820Identification Cards

(a) An identification card, or other similar document that includes information necessary to allow enrollees and insureds to access services or coverage under an HMO evidence of coverage, a preferred provider benefit plan, or an exclusive provider benefit plan that is issued by an MCC subject to this subchapter must comply with the requirements of this section.

(b) An identification card or other similar document issued to enrollees or to insureds must include the following information:

  (1) the name of the enrollee or the insured;

  (2) the first date on which the enrollee or the insured became eligible for benefits under the plan or a toll-free number that a preferred provider may use to obtain such information;

  (3) for an exclusive provider benefit plan, the acronym "EPO" or the phrase "Exclusive Provider Organization"; and

  (4) the letters "TDI" or "DOI" prominently displayed on the front of the card or the document.


Source Note: The provisions of this §21.2820 adopted to be effective February 1, 2004, 29 TexReg 1007; amended to be effective February 16, 2014, 39 TexReg 747

Link to Texas Secretary of State Home Page | link to Texas Register home page | link to Texas Administrative Code home page | link to Open Meetings home page