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Health Care Collaboratives - Company Licensing and Registration

For more information regarding any of the topics below, go to the Company Licensing and Registration home page.

Health Care Collaboratives - Company Licensing and Registration
TDI Form Number Description File FormatLanguage
Company Licensing Fee Transmittal Form
Company Licensing and Registration Fee Transmittal Form to be submitted with filings.
PDF English
Health Care Collaborative (HCC) Acquisition Form
Department notification of an acquisition of a Health Care Collaborative
PDF English
Application for Certificate of Authority to do the business of a Health Care Collaborative in the state of Texas
Health Care Collaborative application for initial or renewal of certificate of authority
PDF English
Health Care Collaboratives Officers and Directors Page
Health Care Collaborative Officer and Director Information
PDF English
Health Care Collaborative Payor Information Form
Form used to provide HCC market power information
PDF English
Request to Convert to Renewal of Certificate of Authority (to do the business of a Health Care Collaborative)
Used to request that the Department convert an examination to an early renewal application
PDF English
Transmittal Checklist for Health Care Collaborative (HCC) Filings
Health Care Collaborative Filing Transmittal Checklist
PDF English

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