28 Tex. Admin. Code § 24.3

Current through Reg. 49, No. 49; December 6, 2024
Section 24.3 - Principles

A discount health care program operator shall:

(1) comply with all applicable statutes of the State of Texas and with all applicable department rules, including Chapter 1, Subchapter D of this title (relating to Effect of Criminal Conduct); Chapter 19, Subchapter Q of this title (relating to Discount Health Care Program Registration); § 19.802 of this title (relating to Amount of Fees); and Chapter 21, Subchapter B, Division 2 of this title (relating to Discount Health Care Program Advertising);
(2) lawfully conduct its business with integrity and diligence;
(3) organize and control its affairs responsibly and effectively, with adequate risk management systems;
(4) maintain adequate financial resources to enable it to satisfy its obligations as they are incurred or become due;
(5) pay due regard to the interests of its prospective members, members, and providers by treating them fairly;
(6) pay due regard to the information needs of its prospective members, members, and providers by communicating information to them in a way that is clear, fair, and not misleading;
(7) manage conflicts fairly, between, as applicable:
(A) the discount health care program operator and its members;
(B) the discount health care program operator and its providers; and
(C) members and providers; and
(8) interact with the commissioner in an open and cooperative way and promptly disclose to the commissioner any significant information relating to its ability to continue as a going concern or as a registered discount health care program operator and to its continued financial stability.

28 Tex. Admin. Code § 24.3

The provisions of this §24.3 adopted to be effective September 8, 2010, 35 TexReg 8121