Section 11.802 - Minimum Net Worth(a) An applicant for a certificate of authority to operate an HMO must have unencumbered assets that satisfy the requirements of Insurance Code § 843.403 (concerning Minimum Net Worth).(b) For the purpose of calculating assets to satisfy the minimum net worth requirements of Insurance Code § 843.403, lawful money of the United States of America includes deposits in an institution that is a member of the Federal Deposit Insurance Corporation. Demand deposits, savings deposits, or time deposits, of the type that are federally insured in solvent banks, savings and loan associations, and their branches, which are organized under the laws of the United States of America or under the laws of any state of the United States of America may not exceed the greater of: (1) the amount of federal deposit insurance coverage pertaining to the deposit; or(2) 10 percent of the issuing financial institution's equity, provided that the institution's equity is in excess of $25 million.(c) The applicant must maintain unencumbered assets in excess of all of its liabilities by an amount equal to or greater than the minimum net worth requirement until it receives its certificate of authority; then the HMO must meet the minimum net worth requirements of Insurance Code § 843.403 by maintaining unencumbered assets in excess of its liabilities by an amount equal to or greater than the minimum net worth requirement.(d) Foreign HMOs seeking admission to this state, which are actively conducting business in other states, and approved nonprofit health corporations authorized under Insurance Code § 844.005 (concerning Provision of Certain Services on Behalf of Health Maintenance Organizations), are required, at a minimum, to comply with Insurance Code § 843.403.28 Tex. Admin. Code § 11.802
The provisions of this §11.802 adopted to be effective November 2, 1998, 23 TexReg 11347; amended to be effective March 30, 2000, 25 TexReg 2646; amended to be effective February 24, 2005, 30 TexReg 854; Adopted by Texas Register, Volume 42, Number 16, April 21, 2017, TexReg 2243, eff. 8/1/2017