Sec. 1201.011. COVERAGE FOR PREMIUM PERIOD WITH LIMITATIONS BY AGE OR DATE; MISSTATEMENT OF AGE OF INSURED. (a) Regardless of a provision in an individual accident and health insurance policy that specifies a date, by age limitation or otherwise, after which coverage under the policy is not effective, coverage continues in force, subject to any right of cancellation, until the end of the period for which the insurer accepts a premium if:
(1) the insurer accepts the premium after the specified date; or
(2) the specified date falls before the end of the period for which the insurer accepts the premium.
(b) Notwithstanding Subsection (a), if the age of the insured is misstated and, because of the insured's correct age, coverage of the insured would not have become effective or would have terminated before the insurer's acceptance of a premium, the liability of the insurer is limited to the refund, on request, of the premiums paid for the period not covered by the policy.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle A - Health Coverage in General
Chapter 1201 - Accident and Health Insurance
Subchapter A. General Provisions
Section 1201.003. Applicability of Chapter
Section 1201.004. Construction of Chapter
Section 1201.005. References to Chapter
Section 1201.006. Rulemaking Authority
Section 1201.007. Notice and Hearing
Section 1201.008. Judicial Review
Section 1201.009. Nonconforming Policy
Section 1201.010. Third-Party Ownership of Policy
Section 1201.012. Defense of Claim
Section 1201.013. Programs Promoting Disease Prevention, Wellness, and Health