This is a clone of the Texas Administrative Code (TAC) for educational purposes. It is not the official version and should not be used for legal purposes. Site created Wed, 21 May 2025 21:16:49 GMT
Each insurer covered by the Insurance Code, Article 5.15-1, shall adopt a procedure for reconsideration of the rate or premium charged a physician or health care provider, as defined in §2 of said article, for professional liability insurance coverage. The procedure so adopted must:(1) afford any insured physician or health care provider the opportunity to file a written grievance with, or request a hearing before, officers or employees of the insurer who have responsibility for determining rates and premiums to be charged for professional liability insurance;(2) require that the insurer reconsider the rate or premium of the insured physician or health care provider;(3) require the insurer to provide a written explanation of the rate or premium being charged; and(4) provide that the insurer shall file a copy of any grievance or request for hearing, together with the insurer's response thereto, with the Professional Liability Division of the State Board of Insurance.