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TITLE 28INSURANCE
PART 1TEXAS DEPARTMENT OF INSURANCE
CHAPTER 24DISCOUNT HEALTH CARE PROGRAM PRINCIPLES OF REGULATION
SUBCHAPTER ADISCOUNT HEALTH CARE PROGRAM PRINCIPLES OF REGULATION
RULE §24.3Principles

A discount health care program operator shall:

  (1) comply with all applicable statutes of the State of Texas and with all applicable department rules, including Chapter 1, Subchapter D of this title (relating to Effect of Criminal Conduct); Chapter 19, Subchapter Q of this title (relating to Discount Health Care Program Registration); §19.802 of this title (relating to Amount of Fees); and Chapter 21, Subchapter B, Division 2 of this title (relating to Discount Health Care Program Advertising);

  (2) lawfully conduct its business with integrity and diligence;

  (3) organize and control its affairs responsibly and effectively, with adequate risk management systems;

  (4) maintain adequate financial resources to enable it to satisfy its obligations as they are incurred or become due;

  (5) pay due regard to the interests of its prospective members, members, and providers by treating them fairly;

  (6) pay due regard to the information needs of its prospective members, members, and providers by communicating information to them in a way that is clear, fair, and not misleading;

  (7) manage conflicts fairly, between, as applicable:

    (A) the discount health care program operator and its members;

    (B) the discount health care program operator and its providers; and

    (C) members and providers; and

  (8) interact with the commissioner in an open and cooperative way and promptly disclose to the commissioner any significant information relating to its ability to continue as a going concern or as a registered discount health care program operator and to its continued financial stability.


Source Note: The provisions of this §24.3 adopted to be effective September 8, 2010, 35 TexReg 8121

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