Effective June 30, 2018, the Texas Department of Insurance (DOI) will be changing their external review processes to comply with federal requirements.
The Texas DOI will no longer administer the external review process for health care plans. External reviews will now be managed by the carrier issuing the policy and conducted by an Independent Review Organization (IRO) according to the federal external appeals process. Certificate of Coverage (COC) documents will be updated upon renewal to reflect these amended changes.
UnitedHealthcare will inform our impacted clients as outlined in the notice provided by the DOI of this change either electronically or by mail.
Please review the cover letter and amendments should your clients have questions.
Please contact your UnitedHealthcare representative with questions.