235709
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.
This Form is used for notifying the Texas Workers' Compensation Self-insurance Group (SIG) about workers' compensation self-insurance.
This form is used for the acknowledgement of mandatory training in the state of Texas.
This form is used for updating the information of Continuing Education (CE) providers in Texas. It is used to provide the latest details and information related to CE providers in the state.
This form is used for registering a captive management company in Texas.
This form is used for small employers in Texas to certify their status as a carrier.
This form is used for large employers in Texas to certify their carrier status.
This form is used for the actuarial certification of annual small employer health benefit plans in Texas. It is specifically for Figure 47 of the certification process.
This document is a form used in Texas for professionals with other professional degrees who are applying for standardized credentialing.
This form is used for the Texas Standardized Credentialing Application and specifically focuses on the applicant's history of malpractice claims in the state of Texas.
This type of document is a form used for disclosing other current hospital affiliations in Texas as part of the Texas Standardized Credentialing Application.
This form is used for adding additional information to a Biographical Affidavit in the state of Texas.
This form is used for the Preferred Provider Benefit Plan (PPBP) and Exclusive Provider Benefit Plan (EPBP) in Texas. It includes an annual report, waiver request, and access plan checklist.