28 Tex. Admin. Code § 7.1601 - Scope
(a) Except as otherwise provided by this
subchapter or the Insurance Code Chapter 4151, this subchapter applies to a
person acting as or holding itself out as an administrator in any capacity,
regardless of whether the person holds another authorization under the
Insurance Code or the Labor Code.
(b) In accordance with the Insurance Code §
1272.058 and the Labor
Code §
407A.009, an administrator
performing administrative services on behalf of an HMO or a workers'
compensation self-insurance group shall meet the same requirements under the
Insurance Code Chapter 4151 and this subchapter as an administrator performing
administrative services on behalf of an insurer or plan sponsor.
(c) A person acting as or holding itself out
as an administrator must meet the requirements of the Insurance Code Chapter
4151 and this subchapter in addition to any other requirements applicable to
that person under the Insurance Code Chapters 1272 or 1305 or the Labor Code
Chapters 407 or 407A and any rules adopted thereunder.
(d) This subchapter does not apply to a
person acting as or holding itself out as an administrator for an ERISA
qualified employee welfare benefit plan that is exempt from regulation by this
state with respect to that particular employee welfare benefit plan.
Notes
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