28 Tex. Admin. Code § 21.2433 - Compliance Analysis for Quantitative Parity: General Requirements
(a) Template and instructions. Except as
provided in §
21.2431 of this title (relating to
Required Analyses for Quantitative and Nonquantitative Parity; Alternative
Tools), an issuer must use the QTL template and associated technical
instructions to:
(1) provide the information
required by §
21.2434 of this title (relating to
Quantitative Parity Analysis: Issuer and Plan Information), §
21.2435 of this title (relating to
Quantitative Parity Analysis: Methodology for Determining Expected Payments),
and §
21.2436 of this title (relating to
Quantitative Parity Analysis: Covered Benefits); and
(2) perform the compliance analysis for
quantitative parity required by §
21.2437 of this title (relating to
Quantitative Parity Analysis: "Substantially All" and "Predominant"
Tests).
(b) Template
programming. TDI may program the QTL template to populate some information and
complete some steps of the analysis automatically.
(c) Compliance analysis for plans with the
same plan design. An issuer may complete a single analysis for multiple plans
with the same plan design.
(d)
Retention of completed template. An issuer must retain its completed
quantitative parity analysis for each plan, plan design, or modified plan
design. The completed analysis must be available to TDI upon request for any
plan or plan design that is available for purchase, and for at least five years
after coverage terminates for the last enrollee covered.
(e) Version control. The issuer must use a
version control system to ensure that the issuer can provide to TDI upon
request the version of the completed analysis that applied to a plan on a given
date.
Notes
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No prior version found.