Texas Health Care Network and Pharmacy Program
Texas’s Health Care Network (HCN) Regulations took effect on January 1, 2011. As of that date, Section 415.015 of the Texas
Workers Compensation Act required that all Voluntary and Informal Networks become certified workers compensation health care
networks pursuant to Section 135.051 of the Texas Insurance Code. Texas defines voluntary networks as healthcare provider
networks that are established under a contract between an insurance carrier and health care provider with a specific fee.
As of January 1, 2011, voluntary and informal networks are no longer allowed to offer discounted provider fees and must apply
the appropriate state medical fee schedule.
At Chubb, we believe that timely, appropriate medical care and early reporting of a claim is the best approach to containing
your workers compensation costs and assuring your employees receive appropriate care. Participation in the Texas HCN will
help support medical cost containment and facilitate prompt return to work. If you are not already enrolled in the HCN, you
may wish to notify Chubb prior to participating to discuss proper implementation.
Here are some reminders for you regarding participation in Chubb’s Texas Health Care Network and Pharmacy Program:
- As of January 1, 2011, if you have not enrolled in a certified HCN, provider fees are subjected to the Workers Compensation
fee guidelines in Texas and no reductions below fee schedule will be allowed. However, medical costs incurred under a certified
HCN may be eligible for preferred rates dependent upon HCN provider contractual obligations.
- If you are interested in participating in a certified HCN you will need to distribute the Employer Implementation packet to
your employees which is attached in the additional information section of this letter. If you need assistance, please contact
your local Chubb branch or agent.
- To assist you with participation in Chubb’s pharmacy benefit management program, the First Fill form is attached along with
information specific to Texas rules.
To find a provider in the HCN, follow these steps:
- Go to http://www.corvel.com
- Click Provider Look Up
- Click on Search
- Select a network = Texas CorCare Certified Network
- Enter the zip code
- Click Find Providers
Thank you for your cooperation.
Chubb Group of Insurance Companies
Warren, New Jersey 07059
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Chubb refers to member insurers of the Chubb Group of Insurance Companies. This document is advisory in nature. It is offered
as a resource to be used together with your professional insurance advisors. The information provided should not be relied
upon as legal advice or a definitive statement of the law in any jurisdiction. For such advice, an applicant, insured, or
reader should consult their own legal counsel. No liability is assumed by reason of the information contained in this document.