Common use of Filing Complaints with the Texas Department of Insurance Clause in Contracts

Filing Complaints with the Texas Department of Insurance. Any person, including those who have attempted to resolve complaints through HMO’s complaint process, who is dissatisfied with the resolution, may report their dissatisfaction to the Texas Department of Insurance, Consumer Protection (111-1A), P.O. Box 149091, Austin, Texas 00000-0000 or fax to (000) 000-0000. There are three methods of filing a TDI complaint: • via mail • via fax • via online at xxx.XXX.xxxxx.xxx The Texas Department of Insurance will investigate complaints against HMO within sixty (60) days of receiving the complaint. The time necessary to complete an investigation may be extended if: • additional information is needed; • an on-site review is necessary; • complainant, HMO, or the physician or provider does not provide all documentation necessary to complete the investigation; or • other circumstances beyond the control of the Texas Department of Insurance occur.

Appears in 2 contracts

Samples: Certificate of Coverage, Certificate of Coverage

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Filing Complaints with the Texas Department of Insurance. Any person, including those who have attempted to resolve complaints through HMO’s complaint process, who is dissatisfied with the resolution, may report their dissatisfaction to the Texas Department of Insurance, Consumer Protection (111-1A), P.O. Box 149091, Austin, Texas 00000-0000 or fax to (000) 000-0000. There are three methods of filing a TDI complaint: via mail via fax via online at xxx.XXX.xxxxx.xxx The Texas Department of Insurance will investigate complaints against HMO within sixty (60) days of receiving the complaint. The time necessary to complete an investigation may be extended if: additional information is needed; an on-site review is necessary; complainant, HMO, or the physician or provider does not provide all documentation necessary to complete the investigation; or other circumstances beyond the control of the Texas Department of Insurance occur.

Appears in 2 contracts

Samples: Certificate of Coverage, Health Care Benefits Program

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