Sec. 1203.053. CERTAIN COORDINATION OF BENEFITS PROVISIONS PROHIBITED. An insurance policy subject to this subchapter may not be delivered, issued for delivery, or renewed in this state if:
(1) a provision of the policy excludes or reduces the payment of benefits for dental expenses to or on behalf of an insured;
(2) the reason for the exclusion or reduction is that dental benefits are payable or have been paid to or on behalf of the insured under another insurance policy; and
(3) the exclusion or reduction would apply before the full amount of the dental expenses incurred by the insured and covered by both policies have been paid or reimbursed or the full amount of the applicable policy limit of the policy containing the exclusion or reduction is reached.
Added by Acts 2015, 84th Leg., R.S., Ch. 572 (H.B. 3024), Sec. 1, eff. September 1, 2015.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle A - Health Coverage in General
Chapter 1203 - Coordination of Benefits Provisions
Subchapter B. Dental Insurance
Section 1203.051. Applicability of Subchapter; Exception
Section 1203.052. Coordination of Benefits Between Primary and Secondary Insurers
Section 1203.053. Certain Coordination of Benefits Provisions Prohibited
Section 1203.054. Certain Coordination of Benefits Provisions Void