Tex. Insurance Code § 843.281
RETALIATORY ACTION PROHIBITED
Texas · Texas Insurance Code · Status: effective
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- Citation
- Tex. Insurance Code § 843.281, RETALIATORY ACTION PROHIBITED, Texas, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/679486
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Full text
(a) A health maintenance organization may not engage in retaliatory action, including refusal to renew or cancellation of coverage, against a group contract holder or enrollee because the group or enrollee or a person acting on behalf of the group or enrollee has filed a complaint against the health maintenance organization or appealed a decision of the health maintenance organization.
(b) A health maintenance organization may not engage in retaliatory action, including refusal to renew or termination of a contract, against a physician or provider because the physician or provider has, on behalf of an enrollee, reasonably filed a complaint against the health maintenance organization or appealed a decision of the health maintenance organization.