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<br />AMENDMENT TO THE TEXAS HEALTH PLANS, INC. <br />GROUP MASTER CONTRACT/ENROLLEES CERTIFICATE OF COVERAGE <br /> <br />This amendment shall be added to the Group Master <br />Contract/Enrollees CertiTicate OT Coverage between the Enrollee <br />and Texas Health Plans, Inc.. This amendment is in eTTect Tor <br />all Enrollees in accordance with the terms OT such Group Master <br />Contract/Enrollees CertiTicate OT Coverage. <br /> <br />DELETE: <br /> <br />Section V, COMPLAINT PROCEDURES. paragraph 3, lilT <br />Turther requested in writing by the Covered Person <br />Tollowing inTormal attempts to resolve the complaint <br />Health Plan shall direct the complaint to a committee <br />appointed by the Board OT Trustees which shall consist <br />OT two (2) physician members, two (2) consumer members, <br />and the President, and which shall be empowered to <br />resolve or recommend the resolution of the complaint... <br /> <br />ADD: <br /> <br />Section V, COMPLAINT PROCEDURES, paragraph 3, "If <br />Turther requested in writing by the Covered Person <br />Tollowing inTormal attempts to resolve the complaint, <br />Health Plan shall direct the complaint to a committee <br />appointed by the President OT Texas Health Plans which <br />shall be empowered to resolve or recommend the <br />resolution OT the complaint." <br /> <br />TEXAS HEALTH PLANS, INC. <br /> <br /> <br />BY: Jad~~i~ina- <br /> <br />President and <br />Chief Executive OTTicer <br /> <br />lit <br /> <br />GREV/ERS2/88 <br />