Insurance Code § 1467.052

A person must complete 40 classroom hours of dispute-resolution training to qualify as a mediator, unless Subsection (b) applies. A person who is not qualified may still be appointed if the parties agree, but a person with certain recent business relationships may not act as mediator in a claim settlement dispute. The

Jurisdiction: United States — Texas
Instrument: Code
Version: Undated source snapshot
Language: en
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dispute resolution mediator qualifications

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Provisions of Insurance Code § 1467.052

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1467.052
Insurance Code § 1467.052
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A person must complete 40 classroom hours of dispute-resolution training to qualify as a mediator, unless Subsection (b) applies. A person who is not qualified may still be appointed if the parties agree, but a person with certain recent business relationships may not act as mediator in a claim settlement dispute. The commissioner must immediately end a mediator’s approval if the mediator no longer meets the subchapter’s requirements.

Sec. 1467.052. MEDIATOR QUALIFICATIONS. (a) Except as provided by Subsection (b), to qualify for an appointment as a mediator under this subchapter a person must have completed at least 40 classroom hours of training in dispute resolution techniques in a course conducted by an alternative dispute resolution organization or other dispute resolution organization approved by the commissioner. (b) A person not qualified under Subsection (a) may be appointed as a mediator on agreement of the parties. (c) A person may not act as mediator for a claim settlement dispute if the person has been employed by, consulted for, or otherwise had a business relationship with a health benefit plan issuer or administrator or a physician, health care practitioner, or other health care provider during the three years immediately preceding the request for mediation. (d) The commissioner shall immediately terminate the approval of a mediator who no longer meets the requirements under this subchapter and rules adopted under this subchapter to serve as a mediator. Added by Acts 2009, 81st Leg., R.S., Ch. 1290 (H.B. 2256), Sec. 1, eff. June 19, 2009. Amended by: Acts 2017, 85th Leg., R.S., Ch. 100 (S.B. 507), Sec. 7, eff. September 1, 2017. Acts 2019, 86th Leg., R.S., Ch. 1342 (S.B. 1264), Sec. 2.08, eff. September 1, 2019.

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Insurance Code § 1467.052

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Provisions of Insurance Code § 1467.052

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