Tex. Labor Code Section 415.0035
Additional Violations by Insurance Carrier or Health Care Provider

(a)

An insurance carrier or its representative commits an administrative violation if that person:

(1)

fails to submit to the division a settlement or agreement of the parties;

(2)

fails to timely notify the division of the termination or reduction of benefits and the reason for that action; or

(3)

denies preauthorization in a manner that is not in accordance with rules adopted by the commissioner under Section 413.014 (Preauthorization Requirements; Concurrent Review and Certification of Health Care).

(b)

A health care provider commits an administrative violation if that person:

(1)

fails or refuses to timely file required reports or records; or

(2)

fails to file with the division the annual disclosure statement required by Section 413.041 (Disclosure).

(c)

Repealed by Acts 2011, 82nd Leg., R.S., Ch. 1162, Sec. 37(2), eff. September 1, 2011.

(d)

Repealed by Acts 2011, 82nd Leg., R.S., Ch. 1162, Sec. 37(2), eff. September 1, 2011.

(e)

A person regulated by the division under this title commits an administrative violation if the person violates this subtitle or a rule, order, or decision of the commissioner.

(f)

Repealed by Acts 2011, 82nd Leg., R.S., Ch. 1162, Sec. 37(2), eff. September 1, 2011.
Added by Acts 1995, 74th Leg., ch. 980, Sec. 1.45, eff. Sept. 1, 1995. Amended by Acts 2001, 77th Leg., ch. 1456, Sec. 6.06, eff. June 17, 2001.
Amended by:
Acts 2005, 79th Leg., Ch. 265 (H.B. 7), Sec. 3.268, eff. September 1, 2005.
Acts 2011, 82nd Leg., R.S., Ch. 1162 (H.B. 2605), Sec. 27, eff. September 1, 2011.
Acts 2011, 82nd Leg., R.S., Ch. 1162 (H.B. 2605), Sec. 37(2), eff. September 1, 2011.

Source: Section 415.0035 — Additional Violations by Insurance Carrier or Health Care Provider, https://statutes.­capitol.­texas.­gov/Docs/LA/htm/LA.­415.­htm#415.­0035 (accessed May 26, 2025).

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May 26, 2025

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