Examinations

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  • (a) The Commissioner or the Commissioner’s designee may examine the records of any applicant or holder of a TPA license.

  • (b) Any TPA or applicant being examined shall provide to the Commissioner or the Commissioner’s designee convenient and free access during business hours to all books, records, documents and other papers relating to the TPA’s or applicant’s business affairs.

  • (c) The Commissioner or the Commissioner’s designee may question under oath any employee, contractor or payor about the business practices of the TPA.

  • (d) The examiners designated by the Commissioner to conduct the examination may make reports to the Commissioner. Any report alleging substantive violations of this chapter must be in writing and must be verified by the examiners.


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