Tex. Insurance Code § 843.260
RECORD OF COMPLAINTS
Texas · Texas Insurance Code · Status: effective
Cite this
- Citation
- Tex. Insurance Code § 843.260, RECORD OF COMPLAINTS, Texas, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/679482
- Permanent ID
ys:prov:679482@1- SHA-256
d9d108b7d8bf66d9387dcb5de61c9161c7349495614dda493d0fbd2d6fd295db
The hash is SHA-256 of this version's text, with every run of whitespace collapsed to a single space and the ends trimmed. The ID always leads back here, and checking it says whether the text you cited is still the current version.
Full text
(a) A health maintenance organization shall maintain a complaint and appeal log regarding each complaint. The log must identify those complaints relating to limited provider networks and delegated entities.
(b) A health maintenance organization shall maintain a record of and documentation on each complaint, complaint proceeding, and action taken on each complaint, including a complaint relating to a limited provider network or delegated entity, until the third anniversary of the date the complaint was received.
(c) A complainant is entitled to a copy of the record of the complainant's complaint and any proceeding relating to that complaint.
(d) The department, during any investigation of a health maintenance organization, may review documentation maintained under Subsection (b), including original documentation, regarding a complaint and action taken on the complaint.