Renewals and Updates from the Texas Department of Insurance

Renewals and Updates

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The purpose of this webpage is to provide you with the information on URA renewals and updates. On this page you will find applicable statutes, rules, and forms needed to complete these processes.

URA Certification Renewal

A URA must apply for renewal of the certificate every two years after the date of original certification. Please remember that if the renewal application is not received by the Department before or on the date of expiration, the certification will automatically expire and the URA must submit a new original application and the filing fee for an original application.

The Utilization Review Agent Application form LHL005 and applicable checklist(s) must be used to file the renewal, and must include: (1) the filing fee of $545.00 payable to the Texas Department of Insurance; and (2) a summary of the current screening criteria.
If there are no updates/changes, a statement signed by an authorized representative of the company certifying that all information previously submitted is true and correct and all changes have been previously filed to the application certified by the Department.
If there are updates/changes, to previously filed documents, the URA must submit the information for review and approval using the applicable checklist(s). Please include the page number and line number in the original application or last submission that is being updated or changed. The renewal fee is not refundable.

URA Updates/Changes to Application

After issuance of a URA's certification, any material changes of the information on the original or last renewal application must be filed with the Department not later than the 30th day after the date on which the change takes effect. Examples of material changes include but are not limited to: new officers and directors; changes in the organizational structure; changes in contractual relationships; changes in the utilization review plan; and adding a new line of utilization review. There is no fee for filing updates or changes.

The application form LHL005 must be used to file updates/changes:

URA must use the checklist to identify what is being updated or changed.
URA must identify the page number and line number in the application that is being updated or changed.

Texas Department of Insurance