Texas Insurance Code 1551.066 – Information Relating to Misconduct
(a) This section applies to:
(1) the Employees Retirement System of Texas;
(2) a carrier or other insurance company or health maintenance organization;
(3) an administering firm or other insurance support organization that provides information or services to the group benefits program or the Employees Retirement System of Texas;
(4) an agent or third-party administrator authorized under this chapter or licensed under this code;
(5) a regulatory authority or department; and
(6) a board member, executive director, employee, auditor, or actuary of an entity described by this section.
(b) A person may collect from, furnish to, or exchange with another person information, including medical records or other confidential information, to the extent the person considers necessary to detect or to impose a sanction for a criminal act, a misrepresentation, or nondisclosure that is related to an attempt to obtain coverage, payment, reimbursement, or a benefit under this chapter.
Terms Used In Texas Insurance Code 1551.066
- Person: includes corporation, organization, government or governmental subdivision or agency, business trust, estate, trust, partnership, association, and any other legal entity. See Texas Government Code 311.005
(c) A person who acts under Subsection (b) is immune from suit and criminal or civil liability unless the person acts with malice or intent to defraud.