Sec. 1251.304. SCOPE OF COVERAGE. (a) An individual covered under group continuation coverage under this subchapter is entitled to coverage that is identical in scope to the coverage provided under the group health insurance policy or contract. An exclusion that was not included in the health insurance policy or contract may not be included in the group continuation coverage.
(b) If the group policyholder or contract holder replaces the health insurance policy or contract within the period prescribed by Section 1251.310(3), an individual covered under group continuation coverage may obtain coverage identical in scope to the coverage under the replacement group policy as provided by this subchapter.
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 B - Group Health Coverage
Chapter 1251 - Group and Blanket Health Insurance
Subchapter G. Continuation of Group Coverage for Certain Family Members and Dependents
Section 1251.301. Continuation of Group Coverage
Section 1251.302. Eligibility for Continued Coverage
Section 1251.303. Physical Examination Not Required
Section 1251.304. Scope of Coverage
Section 1251.305. Amount of Premium
Section 1251.306. Payment of Premiums
Section 1251.307. Notice of Continuation Option
Section 1251.308. Notice of Severance of Family Relationship; Notice of Desire to Exercise Option