# 28 Tex. Admin. Code § 21.2009: 28 TAC § 21.2009. Submission and Payment of Claims

> Texas · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C21_S21_2009

## Section

- **Citation:** 28 Tex. Admin. Code § 21.2009
- **Heading:** 28 TAC § 21.2009. Submission and Payment of Claims
- **Jurisdiction:** Texas
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Texas Administrative Code / Title 28 INSURANCE / Part 1 TEXAS DEPARTMENT OF INSURANCE / Chapter 21 TRADE PRACTICES / 28 TAC § 21.2009

## Text

(a) An insurer shall not require the approval of the insured or enrollee parent for the submission of claims for covered services or for the appeal of a denial of any benefit by a custodial parent, a health care provider, a child over 18 years of age, or a state agency that has been assigned medical support rights.
(b) An insurer shall not refuse or fail to make payments on covered claims directly to the custodial parent, health care provider, child over 18 years of age, or state agency submitting the claim, in accordance with the terms of the policy. Nothing in this section shall require an insurer to make duplicate payments on covered claims.

## Nearby sections

- [28 Tex. Admin. Code § 21.2001 28 TAC § 21.2001. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C21_S21_2001.md)
- [28 Tex. Admin. Code § 21.2002 28 TAC § 21.2002. Prohibition Against Denial of Enrollment](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C21_S21_2002.md)
- [28 Tex. Admin. Code § 21.2004 28 TAC § 21.2004. Enrollment of Child Who Is the Subject of a Medical Support Order](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C21_S21_2004.md)
- [28 Tex. Admin. Code § 21.2005 28 TAC § 21.2005. Prohibition on Cancellation or Nonrenewal](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C21_S21_2005.md)
- [28 Tex. Admin. Code § 21.2006 28 TAC § 21.2006. Notice of Availability of Continuation or Conversion Coverage](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C21_S21_2006.md)
- [28 Tex. Admin. Code § 21.2007 28 TAC § 21.2007. Assignment of Medical Support Rights to State Agency](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C21_S21_2007.md)
- [28 Tex. Admin. Code § 21.2008 28 TAC § 21.2008. Information Provided by an Insurer](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C21_S21_2008.md)
- [28 Tex. Admin. Code § 21.2009 28 TAC § 21.2009. Submission and Payment of Claims](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C21_S21_2009.md)
- [28 Tex. Admin. Code § 21.2010 28 TAC § 21.2010. Prohibition on Service Area Restrictions](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C21_S21_2010.md)
- [28 Tex. Admin. Code § 21.2011 28 TAC § 21.2011. Unfair or Deceptive Practices](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C21_S21_2011.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C21_S21_2009. Check the current official text before relying on it. Not legal advice.