Texas Regulations 10.20

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§ 10.20 Certification Required.

Except as provided by Labor Code § 504.053(b)(2):

(1) A person may not operate or perform any act of a workers' compensation health care network in this state:

(A) unless the person holds a certificate issued under Insurance Code Chapter 1305 and this chapter, or

(B) except in accordance with the specific authorization of Insurance Code Chapter 1305 or this chapter.

(2) A person, including an insurance carrier, who provides or arranges to provide workers� compensation health care network services to injured employees within a service area by contracting with more than one person, must be certified as a workers� compensation health care network under Insurance Code Chapter 1305 and this chapter.

(3) An entity performing any act of a workers� compensation health care network may not use in a network's name or in any informational literature distributed about a network any combination or variation of the words "workers� compensation," "certified," "managed care," or "network" to describe a network that is not certified in accordance with this chapter.

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