Tex. Codes » Insurance Code · TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES · SUBTITLE H. HEALTH BENEFITS AND OTHER COVERAGES FOR GOVERNMENTAL EMPLOYEES · CHAPTER 1551. TEXAS EMPLOYEES GROUP BENEFITS ACT
Texas Codes

Tex. Ins. Code § 1551.352 (2026)

Executive Director Determines Questions Relating To Enrollment Or Payment Of Claims

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Sec. 1551.352. EXECUTIVE DIRECTOR DETERMINES QUESTIONS RELATING TO ENROLLMENT OR PAYMENT OF CLAIMS. The executive director has exclusive authority to determine all questions relating to enrollment in or payment of a claim arising from group coverages or benefits provided under this chapter other than questions relating to payment of a claim by a health maintenance organization.

Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.

Notes of Decisions
Cited in 7 cases, 2006–2014 · leading case: Employees Ret. Sys. of Texas v. Duenez, 288 S.W.3d 905 (Tex. 2009).
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Employees Ret. Sys. of Texas v. Duenez, 288 S.W.3d 905 (Tex. 2009). · cites it 10× “The Plan also contractually governs subrogation.”
Blue Cross Blue Shield of Texas v. Duenez, 201 S.W.3d 674 (Tex. 2006). “” Tex. Ins. Code § 1551.352 (emphasis added).”
Employees Ret. Sys. v. Duenez, 221 S.W.3d 809 (Tex. App.—Corpus Christi 2007). · cites it 2× “” Tex. Ins.Code Ann. § 1551.352. Generally, the executive director’s determination may be appealed only to the ERS Board of Trustees.”
Employees Ret. Sys. of Texas v. M. P., No. 03-13-00395-CV (Tex. App.—Austin Sept. 17, 2014). · cites it 2× “2 See Tex. Ins. Code § 1551.352 (ED “has exclusive authority to determine all questions relating to .”
Ann J. Schneider v. Employees Ret. Sys. of Texas, No. 03-05-00178-CV (Tex. App.—Austin Apr. 3, 2009). · cites it 2× “" See Tex. Ins. Code Ann. § 1551.352 (West 2007).”
Ann J. Schneider v. Employees Ret. Sys. of Texas, No. 03-05-00178-CV (Tex. App.—Austin Apr. 3, 2009). · cites it 2× “In considering this issue, we note that the executive director of ERS has “exclusive authority to determine all questions relating to enrollment in or payment of a claim arising from group coverages or benefits provided under [the Texas Employees Group Benefits Act].”
Employees Ret. Sys. of Texas v. Xavier Duenez, No. 13-05-00729-CV (Tex. App.—Corpus Christi Apr. 5, 2007). · cites it 2× “" Tex. Ins. Code Ann. § 1551.352 . Generally, the executive director's determination may be appealed only to the ERS Board of Trustees.”
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