Tex. Codes » Insurance Code · TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES · SUBTITLE A. HEALTH COVERAGE IN GENERAL · CHAPTER 1204. PROCEDURES FOR PAYMENT OF CERTAIN HEALTH AND ACCIDENT INSURANCE POLICY OR PLAN BENEFITS
Texas Codes

Tex. Ins. Code § 1204.053 (2026)

Assignment Of Benefits

✓ current as of May 2026
Find cases: SyfertCases citing this section TX-LEGstatutes.capitol.texas.gov Justiaon Justia CornellLII Search CasesGoogle Scholar

Sec. 1204.053. ASSIGNMENT OF BENEFITS. (a) An insurer may not deliver, renew, or issue for delivery in this state a health insurance policy that prohibits or restricts a covered person from making a written assignment of benefits to a physician or other health care provider who provides health care services to the person.

(b) This section does not:

(1) provide a coverage or benefit that is not otherwise available under the health insurance policy;

(2) allow assignment of a benefit to:

(A) a person who is not legally entitled to receive such a direct payment; or

(B) another person if, under the health insurance policy or plan, the benefit must be provided to the covered person by a physician or other health care provider who is a contractor or preferred provider under the policy; or

(3) prohibit an insurer from verifying, through the insurer's normal process, the health care services the physician or other health care provider provides to the covered person.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.

Notes of Decisions
Cited in 3 cases (2 in the last 5 years), 2019–2025 · leading case: Dialysis Newco, Inc. v. Commty Hlth Sys Tr, 938 F.3d 246 (5th Cir. 2019).
Sort: Relevance Newest Treatment
Dialysis Newco, Inc. v. Commty Hlth Sys Tr, 938 F.3d 246 (5th Cir. 2019). “§ 56-7-120 (a) (discussing requirements for providing the administrator with notice of such assignments), with Tex. Ins. Code § 1204.053(a) (not discussing similar notice requirements).”
Unitedhealthcare Ins. Co. Unitedhealthcare of Texas, Inc. v. Acs Primary Care Physicians Sw., P.A. Hill Cnty. Emergency Med. Assocs., P.A. Longhorn Emergency Med. Assocs., P.A. Cent. Texas Emergency Assocs., P.A. Emergency Assocs. of Cent. Texas, P.A. Emergency Servs. of Texas, P.A. (Tex. 2023). “” TEX. INS. CODE § 1204.053(a). Section 1204.”
ER Addison LLC v. Aetna Health Inc (N.D. Tex. 2025). “And the Texas law on which ER relies—Tex. Ins. Code Ann. § 1204.053 (West 2005)4— is preempted by ERISA.”
— Tex. Ins. Code § 1204.053(a) — 2 cases
Dialysis Newco, Inc. v. Commty Hlth Sys Tr, 938 F.3d 246 (5th Cir. 2019). “§ 56-7-120 (a) (discussing requirements for providing the administrator with notice of such assignments), with Tex. Ins. Code § 1204.053(a) (not discussing similar notice requirements).”
Unitedhealthcare Ins. Co. Unitedhealthcare of Texas, Inc. v. Acs Primary Care Physicians Sw., P.A. Hill Cnty. Emergency Med. Assocs., P.A. Longhorn Emergency Med. Assocs., P.A. Cent. Texas Emergency Assocs., P.A. Emergency Assocs. of Cent. Texas, P.A. Emergency Servs. of Texas, P.A. (Tex. 2023). “” TEX. INS. CODE § 1204.053(a). Section 1204.”
Annotations are extracted automatically from the opinions in the Syfert caselaw corpus and ranked by authority, recency, and treatment. Dots show Syfertize treatment of the citing case itself.