Sec. 1201.063. PROHIBITION OF CERTAIN CRITERIA RELATING TO CHILD'S COVERAGE IN INDIVIDUAL OR GROUP POLICY. Regarding a natural or adopted child of an insured or group member or a child for whom the insured or group member must provide medical support or dental support, if the policy provides dental coverage, under an order issued under Chapter 154, Family Code, or enforceable by a court in this state, an individual or group accident and health insurance policy that provides coverage for a child of an insured or group member may not set a different premium for the child, exclude the child from coverage, or discontinue coverage of the child because:
(1) the child does not reside with the insured or group member; or
(2) the insured or group member does not claim the child as an exemption for federal income tax purposes under Section 151(c), Internal Revenue Code of 1986.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 1150 (S.B. 550), Sec. 58, eff. September 1, 2018.
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