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This form is used for applying for a Certificate of Authority in the state of Texas.
This form is used for the acquisition of health care collaborative organizations in Texas. It is a legal document that outlines the terms and conditions of the acquisition process.
This document is used for administrators in Texas to certify financial statements.
This form is used for military spouses in Texas who wish to apply to act as an administrator in legal matters.
This Form is used for surrendering the Certificate of Authority of a Third Party Administrator in the state of Texas.
This form is used for completing a checklist for the merger of HMOs (health maintenance organizations) in the state of Texas.
This Form is used for third-party administrators in Texas to notify the state of any change in their address or contact information.
This form is used for requesting the conversion of a certificate of authority to a renewal in the state of Texas.
This form is used for employers in Texas who want to become members of a Workers' Compensation Self-Insurance Group (SIG).
This form is used for the service of process by administrators in Texas.
This form is used for making changes to the corporate governance documents checklist of a Workers' Compensation Self-insurance Group (SIG) in Texas.
This form is used for reporting any changes in performance or fidelity bond for Workers' Compensation Self-insurance Group (SIG) in Texas.
This form is used for checking the increase or decrease in membership for a Workers Compensation Self-insurance Group (SIG) in Texas.
This form is used for transmittal checklist for Health Care Collaborative (HCC) filings in Texas.
This form is used for changing the name of an administrator (TPA) in Texas.
This form is used for providing payor information in the Health Care Collaborative program in Texas.
This form is used for acknowledging the indemnity agreement for group self-insurance coverage of Workers' Compensation Insurance in Texas.
This form is used for applying for authority to offer continuing care in residence services in Texas under Health and Safety Code Section 246.0025(B).
This document is used for obtaining a biographical certificate for a captive management company in the state of Texas.
This form is used for filing the annual report for insurers and HMOs operating in the state of Texas. It provides information about the financial health and operations of these companies.
This document is a form used for the officers and directors page of the Health Care Collaborative in Texas. It is used to gather information about the individuals serving in leadership roles within the organization.