2025 Texas Statutes
Insurance Code
Title 13 - Regulation of Professionals
Subtitle D - Other Professionals
Chapter 4151 - Third-Party Administrators
Subchapter E. Department Regulation of Administrators
Section 4151.202. Contents of Examination; On-Site Evaluation
Sec. 4151.202. CONTENTS OF EXAMINATION; ON-SITE EVALUATION. (a) An examination under Section 4151.201 must include a review of:
(1) each existing written agreement between the administrator and an insurer or plan sponsor; and
(2) the administrator's financial statements.
(b) The commissioner also may have examiners conduct an on-site evaluation of the administrator's personnel and facilities and any books and records of the administrator relating to the transaction of business by and the financial condition of the administrator.
(c) Before an examiner enters an administrator's property, the commissioner shall give notice to the administrator of the examiner's intent to conduct an on-site evaluation. The notice must:
(1) be in the form required by rule adopted by the commissioner; and
(2) include the date and estimated time that the examiner will enter the administrator's property.
(d) An examiner shall comply with operational rules of an administrator while on the administrator's property.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 7, eff. April 1, 2005.
