Question 13010 of 287 · Texas Life, Accident and Health Agent Exam
HMOs in Texas are described in Insurance Code Chapter 843 and in 28 TAC Chapter 11. Which agency is primarily responsible for enforcing these rules?
Exactly one answer is correct.
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Correct answer to question 13010
- C: The Texas Department of Insurance
Explanation
TDI regulates HMOs as insurers for licensing, solvency, and market conduct purposes, while other agencies regulate clinical standards.
More questions: Texas Law: Health Maintenance Organizations
- 13015A health maintenance organization usually pays its primary care physicians by
- 13016An HMO enrollee who needs a covered specialist service may need
- 13001In Texas, a health maintenance organization must obtain
- 13002The evidence of coverage for an HMO is
- 13004A person who receives care from an HMO's network is called
- 13007A health maintenance organization is different from traditional indemnity insurance because the HMO