Sec. 1201.0601. REQUIRED DEFINITIONS: SPECIFIED DISEASE POLICY. An individual or group specified disease insurance policy that uses the term "actual charge" or "actual fee" must define the terms as follows:
"Actual charge" or "actual fee" means the amount actually paid by or on behalf of the insured and accepted by a provider for services provided.
Added by Acts 2005, 79th Leg., Ch. 974 (H.B. 1775), Sec. 1, eff. September 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