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Subchapter A. General Provisions
Section 1251.001. Definitions - Sec. 1251.001. DEFINITIONS. In this chapter: (1) "Blanket accident and...
Section 1251.002. Certain Group Health Insurance Authorized - Sec. 1251.002. CERTAIN GROUP HEALTH INSURANCE AUTHORIZED. A group policy...
Section 1251.003. Certain Blanket Health Insurance Authorized - Sec. 1251.003. CERTAIN BLANKET HEALTH INSURANCE AUTHORIZED. A blanket policy...
Section 1251.004. Certain Payments by Insurers Prohibited - Sec. 1251.004. CERTAIN PAYMENTS BY INSURERS PROHIBITED. (a) Except as...
Section 1251.005. Payment of Benefits - Sec. 1251.005. PAYMENT OF BENEFITS. (a) Except as otherwise provided...
Section 1251.006. Policy May Not Specify Service Provider - Sec. 1251.006. POLICY MAY NOT SPECIFY SERVICE PROVIDER. A group...
Section 1251.007. Exceptions - Sec. 1251.007. EXCEPTIONS. This subchapter and Subchapters B-I do not...
Section 1251.008. Rules - Sec. 1251.008. RULES. The commissioner may adopt rules necessary to...
Subchapter B. Group Accident and Health Insurance: Eligible Policyholders
Section 1251.051. Employers - Sec. 1251.051. EMPLOYERS. (a) For purposes of this section, "employee"...
Section 1251.052. Associations - Sec. 1251.052. ASSOCIATIONS. (a) A group accident and health insurance...
Section 1251.053. Funds Established by Employers, Labor Unions, or Associations - Sec. 1251.053. FUNDS ESTABLISHED BY EMPLOYERS, LABOR UNIONS, OR ASSOCIATIONS....
Section 1251.054. Eligibility for Group Life Insurance - Sec. 1251.054. ELIGIBILITY FOR GROUP LIFE INSURANCE. A group accident...
Section 1251.055. Fund for Former Employees and Members - Sec. 1251.055. FUND FOR FORMER EMPLOYEES AND MEMBERS. (a) An...
Section 1251.056. Other Groups - Sec. 1251.056. OTHER GROUPS. (a) Under the requirements prescribed by...
Subchapter C. Group Accident and Health Insurance: Required Provisions
Section 1251.101. Required Provisions - Sec. 1251.101. REQUIRED PROVISIONS. (a) A group accident and health...
Section 1251.102. Payment of Premiums - Sec. 1251.102. PAYMENT OF PREMIUMS. A group accident and health...
Section 1251.103. Incontestability of Policy - Sec. 1251.103. INCONTESTABILITY OF POLICY. (a) A group accident and...
Section 1251.104. Entire Contract - Sec. 1251.104. ENTIRE CONTRACT. A group accident and health insurance...
Section 1251.105. Statement Made by Policyholder or Insured - Sec. 1251.105. STATEMENT MADE BY POLICYHOLDER OR INSURED. A group...
Section 1251.106. Distinction Based on Marital Status Prohibited - Sec. 1251.106. DISTINCTION BASED ON MARITAL STATUS PROHIBITED. A group...
Section 1251.107. Evidence of Insurability - Sec. 1251.107. EVIDENCE OF INSURABILITY. A group accident and health...
Section 1251.108. Exclusion or Limitation of Coverage for Preexisting Conditions - Sec. 1251.108. EXCLUSION OR LIMITATION OF COVERAGE FOR PREEXISTING CONDITIONS....
Section 1251.109. Adjustment of Premiums or Benefits if Age of Insured Is Misstated - Sec. 1251.109. ADJUSTMENT OF PREMIUMS OR BENEFITS IF AGE OF...
Section 1251.110. Deadline for Notice of Claim - Sec. 1251.110. DEADLINE FOR NOTICE OF CLAIM. (a) A group...
Section 1251.111. Claim Forms - Sec. 1251.111. CLAIM FORMS. (a) A group accident and health...
Section 1251.112. Deadline for Claim - Sec. 1251.112. DEADLINE FOR CLAIM. (a) A group accident and...
Section 1251.113. Prompt Payment of Benefits Required - Sec. 1251.113. PROMPT PAYMENT OF BENEFITS REQUIRED. A group accident...
Section 1251.114. Payment of Benefits - Sec. 1251.114. PAYMENT OF BENEFITS. (a) A group accident and...
Section 1251.115. Right to Conduct Physical Examination or Autopsy - Sec. 1251.115. RIGHT TO CONDUCT PHYSICAL EXAMINATION OR AUTOPSY. A...
Section 1251.116. Legal or Equitable Actions; Limitations - Sec. 1251.116. LEGAL OR EQUITABLE ACTIONS; LIMITATIONS. A group accident...
Section 1251.117. Continuation or Conversion of Coverage - Sec. 1251.117. CONTINUATION OR CONVERSION OF COVERAGE. (a) A group...
Subchapter D. Group Accident and Health Insurance: Coverage for Dependents
Section 1251.151. Coverage for Certain Grandchildren - Sec. 1251.151. COVERAGE FOR CERTAIN GRANDCHILDREN. (a) A group policy...
Section 1251.152. Optional Coverage for Spouses and Dependents - Sec. 1251.152. OPTIONAL COVERAGE FOR SPOUSES AND DEPENDENTS. (a) For...
Section 1251.153. Optional Continuation of Dependents' Benefits on Death of Insured - Sec. 1251.153. OPTIONAL CONTINUATION OF DEPENDENTS' BENEFITS ON DEATH OF...
Section 1251.154. Coverage for Adopted Children - Sec. 1251.154. COVERAGE FOR ADOPTED CHILDREN. A group policy or...
Subchapter E. Group Accident and Health Insurance: General Provisions
Section 1251.201. Certificate of Insurance; Notice of Separate Available Coverage - Sec. 1251.201. CERTIFICATE OF INSURANCE; NOTICE OF SEPARATE AVAILABLE COVERAGE....
Section 1251.202. Notice Regarding Certain Employer Health Benefit Plans - Sec. 1251.202. NOTICE REGARDING CERTAIN EMPLOYER HEALTH BENEFIT PLANS. (a)...
Subchapter F. Continuation or Conversion Privilege on Termination of Coverage Under Group Policy
Section 1251.251. Continuation of Group Coverage Required; Exception - Sec. 1251.251. CONTINUATION OF GROUP COVERAGE REQUIRED; EXCEPTION. (a) An...
Section 1251.252. Eligibility for Continuation of Group Coverage - Sec. 1251.252. ELIGIBILITY FOR CONTINUATION OF GROUP COVERAGE. (a) An...
Section 1251.253. Request for Continuation of Group Coverage - Sec. 1251.253. REQUEST FOR CONTINUATION OF GROUP COVERAGE. An employee,...
Section 1251.254. Payment of Contributions - Sec. 1251.254. PAYMENT OF CONTRIBUTIONS. Except as provided by this...
Section 1251.255. Termination of Continued Coverage - Sec. 1251.255. TERMINATION OF CONTINUED COVERAGE. (a) Group coverage continued...
Section 1251.256. Conversion of Group Policy - Sec. 1251.256. CONVERSION OF GROUP POLICY. (a) An insurer may...
Section 1251.257. Premium for Converted Policy - Sec. 1251.257. PREMIUM FOR CONVERTED POLICY. (a) An insurer shall...
Section 1251.258. Benefits Under Converted Policy - Sec. 1251.258. BENEFITS UNDER CONVERTED POLICY. The commissioner by rule...
Section 1251.259. Termination of Converted Policy - Sec. 1251.259. TERMINATION OF CONVERTED POLICY. Conversion coverage under this...
Section 1251.260. Notice of Continuation and Conversion Privileges - Sec. 1251.260. NOTICE OF CONTINUATION AND CONVERSION PRIVILEGES. (a) An...
Subchapter G. Continuation of Group Coverage for Certain Family Members and Dependents
Section 1251.301. Continuation of Group Coverage - Sec. 1251.301. CONTINUATION OF GROUP COVERAGE. A group policy or...
Section 1251.302. Eligibility for Continued Coverage - Sec. 1251.302. ELIGIBILITY FOR CONTINUED COVERAGE. A family member or...
Section 1251.303. Physical Examination Not Required - Sec. 1251.303. PHYSICAL EXAMINATION NOT REQUIRED. An individual who exercises...
Section 1251.304. Scope of Coverage - Sec. 1251.304. SCOPE OF COVERAGE. (a) An individual covered under...
Section 1251.305. Amount of Premium - Sec. 1251.305. AMOUNT OF PREMIUM. Except as provided by Section...
Section 1251.306. Payment of Premiums - Sec. 1251.306. PAYMENT OF PREMIUMS. (a) An individual covered under...
Section 1251.307. Notice of Continuation Option - Sec. 1251.307. NOTICE OF CONTINUATION OPTION. Except as provided by...
Section 1251.308. Notice of Severance of Family Relationship; Notice of Desire to Exercise Option - Sec. 1251.308. NOTICE OF SEVERANCE OF FAMILY RELATIONSHIP; NOTICE OF...
Section 1251.309. Continuation of Certain Coverages - Sec. 1251.309. CONTINUATION OF CERTAIN COVERAGES. (a) Any period of...
Section 1251.310. Termination of Continued Coverage - Sec. 1251.310. TERMINATION OF CONTINUED COVERAGE. The coverage of an...
Subchapter H. Blanket Accident and Health Insurance: Eligible Policyholders
Section 1251.351. Common Carrier or Motor Vehicle Rental or Leasing Company - Sec. 1251.351. COMMON CARRIER OR MOTOR VEHICLE RENTAL OR LEASING...
Section 1251.352. Employers - Sec. 1251.352. EMPLOYERS. (a) A blanket accident and health insurance...
Section 1251.353. Educational Institutions - Sec. 1251.353. EDUCATIONAL INSTITUTIONS. (a) A blanket accident and health...
Section 1251.354. Religious, Charitable, Recreational, Educational, or Civic Organization - Sec. 1251.354. RELIGIOUS, CHARITABLE, RECREATIONAL, EDUCATIONAL, OR CIVIC ORGANIZATION. (a)...
Section 1251.355. Sports Team or Camp - Sec. 1251.355. SPORTS TEAM OR CAMP. (a) A blanket accident...
Section 1251.356. Governmental or Volunteer Emergency Services Organization - Sec. 1251.356. GOVERNMENTAL OR VOLUNTEER EMERGENCY SERVICES ORGANIZATION. (a) A...
Section 1251.357. Newspaper or Other Publisher - Sec. 1251.357. NEWSPAPER OR OTHER PUBLISHER. (a) A blanket accident...
Section 1251.358. Association - Sec. 1251.358. ASSOCIATION. (a) A blanket accident and health insurance...
Section 1251.359. Coverage for Other Risks - Sec. 1251.359. COVERAGE FOR OTHER RISKS. (a) A blanket accident...
Subchapter I. Blanket Accident and Health Insurance: General Provisions
Section 1251.401. Individual Application and Certificate Not Required - Sec. 1251.401. INDIVIDUAL APPLICATION AND CERTIFICATE NOT REQUIRED. (a) An...
Section 1251.402. Liability of Policyholder Not Affected - Sec. 1251.402. LIABILITY OF POLICYHOLDER NOT AFFECTED. Subchapter H and...
Subchapter J. Regulation of Out-of-State Group Accident and Health Insurance Coverage
Section 1251.451. Applicability of Certain Laws to Out-of-State Group Accident and Health Insurance Coverage - Sec. 1251.451. APPLICABILITY OF CERTAIN LAWS TO OUT-OF-STATE GROUP ACCIDENT...