Sec. 1201.214. POLICY PROVISION: TIME OF PAYMENT OF CLAIMS. (a) Except as provided by Subsection (c), an individual accident and health insurance policy must contain the following provision:
"Time of Payment of Claims: Indemnities payable under this policy for any loss, other than a loss for which this policy provides any periodic payment, will be paid immediately on receipt of due written proof of the loss. Subject to due written proof of loss, all accrued indemnities for a loss for which this policy provides periodic payment will be paid __________ (insert period for payment) and any balance remaining unpaid on termination of liability will be paid immediately on receipt of due written proof of loss."
(b) The period for payment to be inserted in the clause required by Subsection (a) may not be less frequent than monthly.
(c) The provision required by this section is not required to be contained in a policy issued by a corporation operating under Chapter 842.
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 E. Required Policy Provisions
Section 1201.201. Policy Provisions Required
Section 1201.202. Order of Required Policy Provisions
Section 1201.203. Other Policy Provisions
Section 1201.204. Policy Provisions Required by Other Jurisdiction
Section 1201.205. Policy Provisions for Policy Delivered Outside This State
Section 1201.206. Filing Procedure
Section 1201.207. Policy Provision: Entirety of Contract; Policy Changes
Section 1201.208. Policy Provision: Incontestability
Section 1201.209. Policy Provision: Grace Period
Section 1201.210. Policy Provision: Reinstatement
Section 1201.211. Policy Provision: Notice of Claim
Section 1201.212. Policy Provision: Claim Forms
Section 1201.213. Policy Provision: Proof of Loss
Section 1201.214. Policy Provision: Time of Payment of Claims
Section 1201.215. Policy Provision: Payment of Claims
Section 1201.216. Policy Provision: Physical Examinations and Autopsy
Section 1201.217. Policy Provision: Legal Actions
Section 1201.218. Policy Provision: Change of Beneficiary
Section 1201.219. Policy Provision: Change of Occupation
Section 1201.220. Policy Provision: Misstatement of Age
Section 1201.221. Policy Provision: Excess Insurance
Section 1201.222. Policy Provision: Relation of Earnings to Insurance
Section 1201.223. Policy Provision: Unpaid Premium
Section 1201.224. Policy Provision: Cancellation
Section 1201.225. Policy Provision: Conformity With State Statutes