Section 1461.001 - Definitions In this chapter:
(1) "Enrollee" means an individual who is eligible to receive health care services under a managed care plan.(2) "Maintenance of certification" has the meaning assigned by Section 151.002, Occupations Code.(3) "Managed care plan" means a health benefit plan under which health care services are provided to enrollees through contracts with physicians and that requires enrollees to use participating physicians or that provides a different level of coverage for enrollees who use participating physicians. The term includes a health benefit plan issued by: (A) a health maintenance organization;(B) a preferred provider benefit plan issuer; or(C) any other entity that issues a health benefit plan, including an insurance company.(4) "Participating physician" means a physician who has directly or indirectly contracted with a health benefit plan issuer to provide services to enrollees.(5) "Physician" means an individual licensed to practice medicine in this state.Tex. Ins. Code § 1461.001
Added by Acts 2017, Texas Acts of the 85th Leg. - Regular Session, ch. 1121,Sec. 1, eff. 1/1/2018.