Sec. 1201.104. MINIMUM STANDARDS FOR BENEFITS. (a) For individual accident and health insurance policies, the commissioner shall adopt rules establishing minimum standards for benefits under each of the following categories of coverage:
(1) basic hospital expense;
(2) basic medical-surgical expense;
(3) hospital indemnity or other fixed indemnity;
(4) major medical expense;
(5) disability income protection;
(6) accident only;
(7) specified disease;
(8) specified accident; and
(9) limited benefit.
(b) This section does not prohibit the issuance of an individual accident and health insurance policy that combines categories of coverage listed by this section.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 25 (S.B. 979), Sec. 1, eff. May 15, 2015.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle A - Health Coverage in General
Chapter 1201 - Accident and Health Insurance
Subchapter C. General Policy Standards and Provisions
Section 1201.101. Standards for Policy Provisions
Section 1201.102. Prohibition of Policy Provisions
Section 1201.103. Compliance With Minimum Standards for Benefits
Section 1201.104. Minimum Standards for Benefits
Section 1201.106. Identification of Policies According to Coverage Provided
Section 1201.107. Outline of Coverage Required
Section 1201.108. Format and Content of Outline of Coverage
Section 1201.109. Notice of Rate Increase for Major Medical Expense Insurance Policy