Texas Statutes
Subchapter E. Required Policy Provisions
Section 1201.214. Policy Provision: Time of Payment of Claims

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

Texas Statutes

Insurance Code

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

Section 1201.226. Policy Provision: Illegal Occupation