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RULE §10.25Filing Requirements

(a) A network must file with the department as soon as practicable but not later than 30 days prior to implementation, a written request for approval and must receive department approval before implementation of changes to the following:

  (1) management contracts and information regarding fidelity bonds as described in Insurance Code §1305.102, concerning Management Contracts, and §10.40 of this title (relating to Management Contracts), including information regarding cancellation of fidelity bonds, new fidelity bonds, or amendments to fidelity bonds;

  (2) the physical location of the network's books and records as described in §10.22(12) of this title (relating to Contents of Application); and

  (3) material modification of network configuration in accordance with §10.27 of this title (relating to Modifications to Network Configuration).

(b) A network must file an expansion, elimination, or reduction of an existing service area, or addition of a new service area with the department for approval before implementation and in accordance with §10.26 of this title (relating to Modifications to Service Area).

(c) A network must file with the department any information other than the information in subsection (a) of this section that amends, supplements, or replaces the items required under §10.22 of this title. The information must be filed no later than 30 days after implementation of any change.

(d) Notwithstanding subsections (a) and (b) of this section, a network must notify the department of the sale of the network, the merger of the network with another entity, or any other organizational change at least 30 days before implementing the sale, merger, or organizational change.

Source Note: The provisions of this §10.25 adopted to be effective December 5, 2005, 30 TexReg 8099; amended to be effective August 2, 2022, 47 TexReg 4534

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