Tex.
Occ. Code Section 154.0535
Requirements for Certain Complaints
(a)
In this section:(1)
“Anonymous complaint” means a complaint that lacks sufficient information to identify the source or the name of the person who filed the complaint.(2)
“Insurance agent” means a person licensed under Chapter 4054 (Life, Accident, and Health Agents), Insurance Code.(3)
“Insurer” means an insurance company or other entity authorized to engage in the business of insurance under Subtitle C, Title 6, Insurance Code.(4)
“Third-party administrator” means a person required to have a certificate of authority under Chapter 4151 (Third-party Administrators), Insurance Code.(b)
The board may not accept anonymous complaints.(c)
Notwithstanding any confidentiality requirements under Chapter 552 (Public Information), Government Code, this subtitle, or rules adopted under this subtitle, a complaint filed with the board by an insurance agent, insurer, pharmaceutical company, or third-party administrator against a physician must include the name and address of the insurance agent, insurer, pharmaceutical company, or third-party administrator filing the complaint. Not later than the 15th day after the date the complaint is filed with the board, the board shall notify the physician who is the subject of the complaint of the name and address of the insurance agent, insurer, pharmaceutical company, or third-party administrator who filed the complaint, unless the notice would jeopardize an investigation.
Source:
Section 154.0535 — Requirements for Certain Complaints, https://statutes.capitol.texas.gov/Docs/OC/htm/OC.154.htm#154.0535 (accessed Jun. 5, 2024).
