Overview
Texas. State Board of
Insurance.
Health Maintenance Organization
Division.
Records
1977-1992
Records present
consist of charter files, approval correspondence, memoranda, reports and other
documents generated by the compliance of health maintenance organizations
(HMOs) with articles of the Health Maintenance Organization Act. Records range
in date from 1977 to 1992. The majority of records are from the Texas State
Board of Insurance. Some records are from its successor agency, the Department
of Insurance.
4 cubic ft.
English.
Restrictions on Access
None.
Restrictions on Use
None.
Preferred Citation
(Identify the item and cite the series), Records, Health Maintenance
Organization Division, Texas State Board of Insurance. Archives and Information
Services Division, Texas State Library and Archives Commission.
Agency History
The Texas State Board of Insurance regulated the state's insurance and
fire prevention industries primarily under the provisions of the Texas
Insurance Code, the basic objectives of which are to ensure the financial
soundness of the insurance industry and to protect the insurance consumer. The
board appointed, with the consent of the senate, the commissioner of insurance,
who acted as the executive and administrative officer of the agency. Associate
commissioners, under the direction of the commissioner, oversaw operations of
four of the agency's major programs: the Regulated Lines and Licensing Program,
the Financial Program, the Compliance Program and the Administrative Services
Program. Under the Regulated Lines and Licensing Program was the
Insurance-Related Activities Section whose duties included the regulation of
health maintenance organizations. All health maintenance organizations (HMOs)
must operate in compliance with the Health Maintenance Organization Act (HMO
Act), enacted in 1975 in regular session of the 64th Legislature, Senate Bill
180.
In 1991 the legislature changed the agency's name from the Board of
Insurance to the Department of Insurance, reserving the name State Board of
Insurance for the department's three-member governing board. Sunset legislation
in 1993 abolished the board and gave its powers to a single commissioner of
insurance appointed by the governor.
Scope and Contents of the Records
Records present consist of charter files, approval correspondence,
memoranda, reports and other documents generated by the compliance of health
maintenance organizations (HMOs) with articles of the Health Maintenance
Organization Act. Records range in date from 1977 to 1992. The majority of
records are from the Texas State Board of Insurance. Some records are from its
successor agency, the Department of Insurance.
Organization of the Records
These records are organized into two series and two subseries:
- State Board of Insurance charter files and approval
correspondence, 1977-1991, 3.8 cubic ft.
-
- Charter files, 1986-1991, 1 cubic ft.
- Approval correspondence, 1978-1991, 2.8 cubic ft.
- State Department of Insurance Health Maintenance Organization Act
records, 1990-1992, 0.2 cubic ft.
Index Terms
The terms listed here were used to catalog the
records. The terms can be used to find similar or related records.
Corporate Names:
Texas. State
Board of Insurance.
Health Maintenance Organization
Division.
Subjects:
Insurance,
Health--Texas.
Health maintenance
organizations--Texas.
Document Types:
Insurance
records--Texas--Health maintenance organizations--1977-1992.
Correspondence--Texas--Health maintenance
organizations--1977-1992.
Functions:
Regulating health
maintenance organizations.
Related Material
The following materials are offered as
possible sources of further information on the agencies and subjects covered by
the records. The listing is not exhaustive.
Texas State
Archives
Texas State Board of Insurance, Health Maintenance
Organization Division records, 1975-1991, 35.25 cubic ft.
Texas State Board of Insurance, Health Maintenance
Organization Division records, 1973-1989, 16.71 cubic ft.
Processing Information
Lisa M. Hendricks, October 1996
Accession Information
Accession number: 1997/016
These records were transferred to the Archives and Information
Services Division of the Texas State Library and Archives Commission by the
Texas Department of Insurance on October 2, 1996.
Detailed Description of the Records
State Board of Insurance charter files and approval
correspondence,
1977-1991,
3.8 cubic ft.
These records of the Texas State Board of Insurance include
charter files, approval correspondence, memoranda, reports, and other documents
generated by the compliance of health maintenance organizations (HMOs) with
articles of the Health Maintenance Organization Act. Records range in date from
1977 to 1991. Charter files consist of various types of documentation submitted
to the commissioner of insurance when applying for a certificate of authority.
Approval correspondence documents any modification, addition, deletion,
revision or amendment for which the commissioner's approval is required.
Organization of the Records
These records are organized into two subseries:
- Charter files, 1986-1991, 1 cubic ft.
- Approval correspondence, 1978-1991, 2.8 cubic ft.
Charter files,
1986-1991,
1 cubic ft.
Records consist of various types of documentation submitted to
the commissioner of insurance when applying for a certificate of authority.
Records date from 1986 to 1991 and for each HMO may include: the articles of
incorporation; the bylaws; a list of officers, directors, and board members;
its health care plans, facilities, and personnel; evidence of coverage; a
financial statement showing the applicant's assets, liabilities and sources of
financial support; marketing plans and proposals; a power of attorney for
applicants outside the state; a service area map; organizational charts; a
description of complaint resolution procedures; a quality assurance plan; plans
for enrollee participation; schedules of charges; and any other information the
commissioner may require of the company to make determinations.
Arrangement
These records are roughly grouped alphabetically by the name of
the HMO. Records are unfoldered and remain in order as received.
Index Terms
The terms listed here were used to catalog
the records. The terms can be used to find similar or related records.
Corporate Names:
Texas. State Board
of Insurance. Health Maintenance Organization Division.
Subjects:
Insurance,
Health--Texas.
Health maintenance
organizations--Texas.
Document Types:
Articles of
incorporation--Texas--Health maintenance organizations--1986-1991.
Bylaws--Texas--Health maintenance
organizations--1986-1991.
Lists--Texas--Health
maintenance organizations--1986-1991.
Plans
(reports)--Texas--Health maintenance organizations--1986-1991.
Financial
statements--Texas-Health maintenance organizations--1986-1991.
Powers of
attorney--Texas--Health maintenance organizations--1986-1991.
Maps--Texas--Health
maintenance organizations--1986-1991.
Organization
charts--Texas--Health maintenance organizations--1986-1991.
Functions:
Regulating health
maintenance organizations.
1997/016-3
AEtna Dental Care of Texas, Inc.,
1986-1991
1997/016-3
Alternative Dental Care of Texas, Inc.,
1988-1991
1997/016-3
American General Health Plan, Vol. I,
1988-1991
1997/016-3
American Prepaid Dental Plan of Texas, Inc.,
1989-1991
1997/016-3
East Texas Health Plan, Inc., Vol. I,
1984-1987
Approval correspondence,
1977-1991,
2.8 cubic ft.
These records consist of correspondence and copies of contracts,
agreements and reports dating from 1977 to 1991. Records were generated by
compliance on the part of Health Maintenance Organizations (HMOs) with
provisions of the Health Maintenance Organization Act. Subsequent to receiving
its certificate of authority, an HMO must submit to the commissioner, for
approval, disapproval, or for information only, any modifications or amendments
to operations or documents submitted to the commissioner during the process of
applying for a certificate of authority. Any modification, addition, deletion,
revision or amendment for which the commissioner's approval is required will be
considered approved unless disapproved within thirty days. Actions requiring
approval of the board include service area expansion requests, the acquisition
of one HMO by another, applications for Certificate of Need, and amendments of
bylaws. The commissioner may postpone any action for an additional thirty days
only if more time is needed for proper consideration.
Arrangement
These records are roughly grouped by the name of the HMO.
Records are not foldered and remain in order as received.
Index Terms
The terms listed here were used to catalog
the records. The terms can be used to find similar or related
records.
Corporate Names:
Texas. State Board
of Insurance. Health Maintenance Organization Division.
Subjects:
Insurance,
Health--Texas.
Health maintenance
organizations--Texas.
Document Types:
Correspondence--Texas--Health maintenance
organizations--1977-1991.
Contracts--Texas--Health maintenance
organizations--1977-1991.
Agreements--Texas--Health maintenance
organizations--1977-1991.
Reports--Texas--Health maintenance
organizations--1977-1991.
Functions:
Regulating health
maintenance organizations.
1997/016-1
Central Texas Health Plan,
1986
1997/016-1
South Texas Health Plan,
1985-1986
1997/016-1
Mid Texas Health Plan,
1986
1997/016-1
Central Texas Health Plan,
1986-1987
1997/016-1
Travelers Health Network/Whittaker Health Services,
1986-1987
1997/016-1
Texas HMO Status Report,
1980-1991
1997/016-2
CIGNA Healthplan of Texas, Inc.,
1985-1987
1997/016-2
Coastal Bend Health Plan,
1986-1987
1997/016-2
East Texas Health Plan,
1987
1997/016-2
United Medical Plan of Texas, Inc.,
1986-1987
1997/016-2
Humana Health Plan of Texas, Inc. (San Antonio),
1985-1987
1997/016-2
Planned Health,
1983-1984
1997/016-2
Humana Health Plan of Texas, Inc. (Corpus Christi),
1985-1987
1997/016-2
Kaiser Permanente Medicare Plus,
1986-1987
1997/016-2
Maxicare Health Plans, Inc.,
1984-1987
1997/016-2
Medcon, Inc.,
1982-1983
1997/016-2
Tarrant Health Protection Plan, Inc.,
1980
1997/016-2
North Texas Medcare, Inc.,
1983-1984
1997/016-2
Medcon, Inc. & Metrocare,
1978-1983
1997/016-2
Prudential Health Care Plan, Inc./PruCare,
1980-1987
1997/016-2
Rio Grande HMO Inc.,
1984-1988
1997/016-2
Prudential/PruCare,
1980-1987
1997/016-2
Southwest Health Plan,
1987
1997/016-2
Travelers Health Network,
1987
1997/016-4
Maxicare Health Plans, Inc. (acquisition of
HealthAmerica Corp.),
1986
1997/016-4
Physicians and Patients Association, Inc.,
1985-1987
1997/016-4
MetLife HealthCare Network of Texas, Inc.,
1990-1994
1997/016-4
Southwest Medical Plan, Inc.,
1977-1979
State Department of Insurance Health Maintenance
Organization Act records,
1990-1992,
0.2 cubic ft.
Records present include correspondence, memoranda, excerpts from
the Texas Register and copies of legislation.
Records date from 1990 to 1992 and are from the Department of Insurance.
Records document proposed changes to the Health Maintenance Act of 1975 and
objections to those proposed changes by HMOs.
Arrangement of the Records
Records are not foldered and are in no apparent order. Records
remain in the order received.
1997/16-1
Records,
1990-1992