Sec. 1201.107. OUTLINE OF COVERAGE REQUIRED. (a) An outline of coverage for an individual accident and health insurance policy must be delivered to the applicant at the time application is made, and an acknowledgment of receipt or certificate of delivery of an outline of coverage must be provided to the insurer with the application.
(b) If the policy issued differs from the policy for which the applicant applied, an outline of coverage that properly describes the policy must:
(1) accompany the policy when delivered; and
(2) clearly state that the policy is not the policy for which the applicant applied.
(c) Subsection (a) does not apply to a direct response insurance product.
(d) An outline of coverage under a direct response insurance product must accompany 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 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