Texas Statutes
Subtitle G - Health Coverage Availability
Chapter 1508 - Healthy Texas Program

Subchapter A. General Provisions

Section 1508.001. Purpose - Sec. 1508.001. PURPOSE. (a) The purposes of the Healthy Texas...

Section 1508.002. Definitions - Sec. 1508.002. DEFINITIONS. In this chapter: (1) "Dependent" has the...

Section 1508.003. Rules - Sec. 1508.003. RULES. The commissioner may adopt rules as necessary...

Subchapter B. Employer Eligibility; Contributions

Section 1508.051. Employer Eligibility to Participate - Sec. 1508.051. EMPLOYER ELIGIBILITY TO PARTICIPATE. (a) A small employer...

Section 1508.052. Commissioner Adjustments Authorized - Sec. 1508.052. COMMISSIONER ADJUSTMENTS AUTHORIZED. (a) The commissioner by rule...

Section 1508.053. Minimum Employer Participation Requirements - Sec. 1508.053. MINIMUM EMPLOYER PARTICIPATION REQUIREMENTS. A small employer that...

Section 1508.054. Employer Contribution Requirements - Sec. 1508.054. EMPLOYER CONTRIBUTION REQUIREMENTS. (a) A small employer that...

Subchapter C. Program Participation; Required Coverage and Benefits

Section 1508.101. Participating Plan Issuers - Sec. 1508.101. PARTICIPATING PLAN ISSUERS. (a) Subject to Subsection (b),...

Section 1508.102. Preexisting Condition Provision Required - Sec. 1508.102. PREEXISTING CONDITION PROVISION REQUIRED. A health benefit plan...

Section 1508.103. Exception From Mandated Benefit Requirements - Sec. 1508.103. EXCEPTION FROM MANDATED BENEFIT REQUIREMENTS. Except as expressly...

Section 1508.104. Certain Coverage Prohibited or Required - Sec. 1508.104. CERTAIN COVERAGE PROHIBITED OR REQUIRED. (a) A qualifying...

Subchapter D. Program Administration

Section 1508.151. Employer Certification - Sec. 1508.151. EMPLOYER CERTIFICATION. (a) At the time of initial...

Section 1508.152. Application Process - Sec. 1508.152. APPLICATION PROCESS. (a) Subject to Subsection (b), a...

Section 1508.153. Employee Enrollment; Waiting Period - Sec. 1508.153. EMPLOYEE ENROLLMENT; WAITING PERIOD. (a) A qualifying health...

Section 1508.154. Reports - Sec. 1508.154. REPORTS. A health benefit plan issuer that participates...

Subchapter E. Rating of Qualified Health Benefit Plans

Section 1508.201. Rating; Premium Practices in General - Sec. 1508.201. RATING; PREMIUM PRACTICES IN GENERAL. (a) A health...

Section 1508.202. Premium Rate Development and Calculation - Sec. 1508.202. PREMIUM RATE DEVELOPMENT AND CALCULATION. (a) Rating factors...

Section 1508.203. Filing; Approval - Sec. 1508.203. FILING; APPROVAL. (a) A health benefit plan issuer...

Subchapter F. Healthy Texas Small Employer Premium Stabilization Fund

Section 1508.251. Establishment of Fund - Sec. 1508.251. ESTABLISHMENT OF FUND. (a) To the extent that...

Section 1508.252. Operation of Fund; Claim Eligibility - Sec. 1508.252. OPERATION OF FUND; CLAIM ELIGIBILITY. (a) A health...

Section 1508.253. Reimbursement Request Submission - Sec. 1508.253. REIMBURSEMENT REQUEST SUBMISSION. (a) A health benefit plan...

Section 1508.254. Fund Availability - Sec. 1508.254. FUND AVAILABILITY. (a) The commissioner shall compute the...

Section 1508.255. Program Reporting - Sec. 1508.255. PROGRAM REPORTING. (a) Each health benefit plan issuer...

Section 1508.256. Claims Experience Data - Sec. 1508.256. CLAIMS EXPERIENCE DATA. (a) Based on available data...

Section 1508.257. Total Eligible Enrollment Determination - Sec. 1508.257. TOTAL ELIGIBLE ENROLLMENT DETERMINATION. (a) The commissioner shall...

Section 1508.258. Evaluation and Protection of Fund; Employer Enrollment Suspension - Sec. 1508.258. EVALUATION AND PROTECTION OF FUND; EMPLOYER ENROLLMENT SUSPENSION....

Section 1508.259. Employer Enrollment Reactivation - Sec. 1508.259. EMPLOYER ENROLLMENT REACTIVATION. If, at any point during...

Section 1508.260. Fund Administrator - Sec. 1508.260. FUND ADMINISTRATOR. (a) The commissioner may obtain the...

Section 1508.261. Stop-Loss Insurance; Reinsurance - Sec. 1508.261. STOP-LOSS INSURANCE; REINSURANCE. (a) The administrator of the...

Section 1508.262. Public Education and Outreach - Sec. 1508.262. PUBLIC EDUCATION AND OUTREACH. (a) The commissioner may...