INSURANCE CARRIER LIABILITY FOR OUT-OF-NETWORK HEALTH CARE.
Tex. INS Code § 1305.006.
in effectAn insurance carrier that establishes or contracts with a network is liable for the following out-of-network health care that is provided to an injured employee:
(1) emergency care;
(2) health care provided to an injured employee who does not live within the service area of any network established by the insurance carrier or with which the insurance carrier has a contract; and
(3) health care provided by an out-of-network provider pursuant to a referral from the injured employee's treating doctor that has been approved by the network pursuant to Section 1305.103 .
Added by Acts 2005, 79th Leg., Ch. 265 (H.B. 7 ), Sec. 4.02, eff. September 1, 2005.