Texas Statutes
Subtitle A - Health Coverage in General
Chapter 1201 - Accident and Health Insurance

Section 1201.011. Coverage for Premium Period With Limitations by Age or Date; Misstatement of Age of Insured - Sec. 1201.011. COVERAGE FOR PREMIUM PERIOD WITH LIMITATIONS BY AGE...

Section 1201.012. Defense of Claim - Sec. 1201.012. DEFENSE OF CLAIM. The following actions by an...

Section 1201.013. Programs Promoting Disease Prevention, Wellness, and Health - Sec. 1201.013. PROGRAMS PROMOTING DISEASE PREVENTION, WELLNESS, AND HEALTH. (a)...

Subchapter B. Policy Terms

Section 1201.051. Entire Consideration - Sec. 1201.051. ENTIRE CONSIDERATION. An individual accident and health insurance...

Section 1201.052. Time of Effectiveness and Termination - Sec. 1201.052. TIME OF EFFECTIVENESS AND TERMINATION. An individual accident...

Section 1201.053. Persons Insured - Sec. 1201.053. PERSONS INSURED. (a) Except as provided by this...

Section 1201.054. Appearance of Text - Sec. 1201.054. APPEARANCE OF TEXT. (a) In this section, "text"...

Section 1201.055. Exceptions and Reductions of Indemnity - Sec. 1201.055. EXCEPTIONS AND REDUCTIONS OF INDEMNITY. (a) An individual...

Section 1201.056. Form Number - Sec. 1201.056. FORM NUMBER. Each form that constitutes a part...

Section 1201.057. Incorporation of or Reference to Other Documents - Sec. 1201.057. INCORPORATION OF OR REFERENCE TO OTHER DOCUMENTS. (a)...

Section 1201.058. Notification That Policy Is Returnable; Effect of Return - Sec. 1201.058. NOTIFICATION THAT POLICY IS RETURNABLE; EFFECT OF RETURN....

Section 1201.059. Termination of Coverage Based on Age of Child in Individual, Blanket, or Group Policy - Sec. 1201.059. TERMINATION OF COVERAGE BASED ON AGE OF CHILD...

Section 1201.060. Required Definition of "Emergency Care" in Individual or Group Policy - Sec. 1201.060. REQUIRED DEFINITION OF "EMERGENCY CARE" IN INDIVIDUAL OR...

Section 1201.0601. Required Definitions: Specified Disease Policy - Sec. 1201.0601. REQUIRED DEFINITIONS: SPECIFIED DISEASE POLICY. An individual or...

Section 1201.061. Coverage for Adopted Child - Sec. 1201.061. COVERAGE FOR ADOPTED CHILD. (a) An individual accident...

Section 1201.062. Coverage for Certain Children in Individual or Group Policy or in Plan or Program - Sec. 1201.062. COVERAGE FOR CERTAIN CHILDREN IN INDIVIDUAL OR GROUP...

Section 1201.063. Prohibition of Certain Criteria Relating to Child's Coverage in Individual or Group Policy - Sec. 1201.063. PROHIBITION OF CERTAIN CRITERIA RELATING TO CHILD'S COVERAGE...

Section 1201.064. Coverage for Child of Spouse in Individual or Group Policy - Sec. 1201.064. COVERAGE FOR CHILD OF SPOUSE IN INDIVIDUAL OR...

Section 1201.065. Age and School Enrollment Eligibility Criteria for Dependent Children in Individual or Group Policy; Late Enrollment - Sec. 1201.065. AGE AND SCHOOL ENROLLMENT ELIGIBILITY CRITERIA FOR DEPENDENT...

Subchapter C. General Policy Standards and Provisions

Section 1201.101. Standards for Policy Provisions - Sec. 1201.101. STANDARDS FOR POLICY PROVISIONS. (a) The commissioner shall...

Section 1201.102. Prohibition of Policy Provisions - Sec. 1201.102. PROHIBITION OF POLICY PROVISIONS. The commissioner may adopt...

Section 1201.103. Compliance With Minimum Standards for Benefits - Sec. 1201.103. COMPLIANCE WITH MINIMUM STANDARDS FOR BENEFITS. (a) An...

Section 1201.104. Minimum Standards for Benefits - Sec. 1201.104. MINIMUM STANDARDS FOR BENEFITS. (a) For individual accident...

Section 1201.105. Minimum Standards for Benefits for Long-Term Care in Individual, Group, or Blanket Policy - Sec. 1201.105. MINIMUM STANDARDS FOR BENEFITS FOR LONG-TERM CARE IN...

Section 1201.106. Identification of Policies According to Coverage Provided - Sec. 1201.106. IDENTIFICATION OF POLICIES ACCORDING TO COVERAGE PROVIDED. The...

Section 1201.107. Outline of Coverage Required - Sec. 1201.107. OUTLINE OF COVERAGE REQUIRED. (a) An outline of...

Section 1201.108. Format and Content of Outline of Coverage - Sec. 1201.108. FORMAT AND CONTENT OF OUTLINE OF COVERAGE. (a)...

Section 1201.109. Notice of Rate Increase for Major Medical Expense Insurance Policy - Sec. 1201.109. NOTICE OF RATE INCREASE FOR MAJOR MEDICAL EXPENSE...

Subchapter D. Preexisting Conditions

Section 1201.151. Compliance With Subchapter; Prohibition of Defense - Sec. 1201.151. COMPLIANCE WITH SUBCHAPTER; PROHIBITION OF DEFENSE. Except as...

Section 1201.152. Coverage Under Simplified Application Form - Sec. 1201.152. COVERAGE UNDER SIMPLIFIED APPLICATION FORM. (a) Notwithstanding Clause...

Section 1201.153. Coverage for Individuals Age 65 or Older - Sec. 1201.153. COVERAGE FOR INDIVIDUALS AGE 65 OR OLDER. (a)...

Section 1201.154. Coverage for Certain Previously Covered Persons - Sec. 1201.154. COVERAGE FOR CERTAIN PREVIOUSLY COVERED PERSONS. (a) In...

Subchapter E. Required Policy Provisions

Section 1201.201. Policy Provisions Required - Sec. 1201.201. POLICY PROVISIONS REQUIRED. (a) Except as provided by...

Section 1201.202. Order of Required Policy Provisions - Sec. 1201.202. ORDER OF REQUIRED POLICY PROVISIONS. (a) Except as...

Section 1201.203. Other Policy Provisions - Sec. 1201.203. OTHER POLICY PROVISIONS. A policy provision that is...

Section 1201.204. Policy Provisions Required by Other Jurisdiction - Sec. 1201.204. POLICY PROVISIONS REQUIRED BY OTHER JURISDICTION. An individual...

Section 1201.205. Policy Provisions for Policy Delivered Outside This State - Sec. 1201.205. POLICY PROVISIONS FOR POLICY DELIVERED OUTSIDE THIS STATE....

Section 1201.206. Filing Procedure - Sec. 1201.206. FILING PROCEDURE. (a) The commissioner may adopt reasonable...

Section 1201.207. Policy Provision: Entirety of Contract; Policy Changes - Sec. 1201.207. POLICY PROVISION: ENTIRETY OF CONTRACT; POLICY CHANGES. An...

Section 1201.208. Policy Provision: Incontestability - Sec. 1201.208. POLICY PROVISION: INCONTESTABILITY. (a) Except as provided by...

Section 1201.209. Policy Provision: Grace Period - Sec. 1201.209. POLICY PROVISION: GRACE PERIOD. (a) An individual accident...

Section 1201.210. Policy Provision: Reinstatement - Sec. 1201.210. POLICY PROVISION: REINSTATEMENT. (a) Except as provided by...

Section 1201.211. Policy Provision: Notice of Claim - Sec. 1201.211. POLICY PROVISION: NOTICE OF CLAIM. (a) Except as...

Section 1201.212. Policy Provision: Claim Forms - Sec. 1201.212. POLICY PROVISION: CLAIM FORMS. (a) Except as provided...

Section 1201.213. Policy Provision: Proof of Loss - Sec. 1201.213. POLICY PROVISION: PROOF OF LOSS. An individual accident...

Section 1201.214. Policy Provision: Time of Payment of Claims - Sec. 1201.214. POLICY PROVISION: TIME OF PAYMENT OF CLAIMS. (a)...

Section 1201.215. Policy Provision: Payment of Claims - Sec. 1201.215. POLICY PROVISION: PAYMENT OF CLAIMS. (a) Except as...

Section 1201.216. Policy Provision: Physical Examinations and Autopsy - Sec. 1201.216. POLICY PROVISION: PHYSICAL EXAMINATIONS AND AUTOPSY. An individual...

Section 1201.217. Policy Provision: Legal Actions - Sec. 1201.217. POLICY PROVISION: LEGAL ACTIONS. An individual accident and...

Section 1201.218. Policy Provision: Change of Beneficiary - Sec. 1201.218. POLICY PROVISION: CHANGE OF BENEFICIARY. (a) Except as...

Section 1201.219. Policy Provision: Change of Occupation - Sec. 1201.219. POLICY PROVISION: CHANGE OF OCCUPATION. An individual accident...

Section 1201.220. Policy Provision: Misstatement of Age - Sec. 1201.220. POLICY PROVISION: MISSTATEMENT OF AGE. An individual accident...

Section 1201.221. Policy Provision: Excess Insurance - Sec. 1201.221. POLICY PROVISION: EXCESS INSURANCE. An individual accident and...

Section 1201.222. Policy Provision: Relation of Earnings to Insurance - Sec. 1201.222. POLICY PROVISION: RELATION OF EARNINGS TO INSURANCE. (a)...

Section 1201.223. Policy Provision: Unpaid Premium - Sec. 1201.223. POLICY PROVISION: UNPAID PREMIUM. An individual accident and...

Section 1201.224. Policy Provision: Cancellation - Sec. 1201.224. POLICY PROVISION: CANCELLATION. An individual accident and health...

Section 1201.225. Policy Provision: Conformity With State Statutes - Sec. 1201.225. POLICY PROVISION: CONFORMITY WITH STATE STATUTES. An individual...

Section 1201.226. Policy Provision: Illegal Occupation - Sec. 1201.226. POLICY PROVISION: ILLEGAL OCCUPATION. An individual accident and...

Subchapter F. Application for Policy

Section 1201.271. Alteration of Policy Application - Sec. 1201.271. ALTERATION OF POLICY APPLICATION. (a) A person may...

Section 1201.272. False Statements - Sec. 1201.272. FALSE STATEMENTS. The falsity of a statement in...

Section 1201.273. Binding Statements - Sec. 1201.273. BINDING STATEMENTS. An insured may not be bound...

Section 1201.274. Insurer's Evidentiary Use of Application for Reinstatement or Renewal - Sec. 1201.274. INSURER'S EVIDENTIARY USE OF APPLICATION FOR REINSTATEMENT OR...

Subchapter O. Enforcement

Section 1201.701. Civil Penalty - Sec. 1201.701. CIVIL PENALTY. A person, partnership, or corporation that...

Section 1201.702. Action Against Certificate of Authority or License - Sec. 1201.702. ACTION AGAINST CERTIFICATE OF AUTHORITY OR LICENSE. The...

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Texas Statutes Subtitle A - Health Coverage in General Chapter 1201 - Accident and Health Insurance

Texas Statutes
Subtitle A - Health Coverage in General
Chapter 1201 - Accident and Health Insurance