Tex. Codes » Insurance Code · TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES · SUBTITLE D. PROVIDER PLANS · CHAPTER 1305. WORKERS' COMPENSATION HEALTH CARE NETWORKS
Texas Codes

Tex. Ins. Code § 1305.401 (2026)

Complaint System Required

✓ current as of May 2026
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Sec. 1305.401. COMPLAINT SYSTEM REQUIRED. (a) Each network shall implement and maintain a complaint system that provides reasonable procedures to resolve an oral or written complaint.

(b) The network may require a complainant to file the complaint not later than the 90th day after the date of the event or occurrence that is the basis for the complaint.

(c) The complaint system must include a process for the notice and appeal of a complaint.

(d) The commissioner may adopt rules as necessary to implement this section.

Added by Acts 2005, 79th Leg., Ch. 265 (H.B. 7), Sec. 4.02, eff. September 1, 2005.

Notes of Decisions
Cited in 3 cases, 2011–2012 · leading case: Kasten v. Saint-Gobain Performance Plastics Corp., 563 U.S. 1 (2011).
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Kasten v. Saint-Gobain Performance Plastics Corp., 563 U.S. 1 (2011). “written or oral complaint”); Tex. Ins. Code Ann. §§ 1305.401 (a)-(b) (West 2009) (“oral or written complaint” must be “file[d]”); Wash.”
in Re Mid-Century Ins. Co. of Texas, 426 S.W.3d 169 (Tex. App. 2012). “See Tex. Ins. Code Ann. §§ 1305.401 -.405; 28 Tex.”
Kasten v. Saint-Gobain Performance Plastics Corp., 563 U.S. 1 (2011). · cites it 2× “written or oral complaint”); Tex. Ins. Code Ann. §§1305.401 (a)–(b) (West 2009) (“oral or written complaint” must be “file[d]”); Wash.”
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