Sec. 1201.055. EXCEPTIONS AND REDUCTIONS OF INDEMNITY. (a) An individual accident and health insurance policy must state each exception to or reduction of indemnity for the policy.
(b) Except as provided by Subchapter E, each exception to or reduction of indemnity for the policy must be printed, at the insurer's option:
(1) with the benefit provision to which the exception or reduction applies; or
(2) under an appropriate caption such as:
(A) "Exceptions"; or
(B) "Exceptions and Reductions."
(c) Notwithstanding Subsection (b), if an exception or reduction specifically applies only to a particular benefit of an individual accident and health insurance policy, the statement of the exception or reduction must be included with the benefit provision to which the exception or reduction applies.
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
Section 1201.051. Entire Consideration
Section 1201.052. Time of Effectiveness and Termination
Section 1201.053. Persons Insured
Section 1201.054. Appearance of Text
Section 1201.055. Exceptions and Reductions of Indemnity
Section 1201.057. Incorporation of or Reference to Other Documents
Section 1201.058. Notification That Policy Is Returnable; Effect of Return
Section 1201.060. Required Definition of "Emergency Care" in Individual or Group Policy
Section 1201.0601. Required Definitions: Specified Disease Policy
Section 1201.061. Coverage for Adopted Child
Section 1201.062. Coverage for Certain Children in Individual or Group Policy or in Plan or Program
Section 1201.064. Coverage for Child of Spouse in Individual or Group Policy