Sec. 1252.203. EXTENSION OF BENEFITS FOR TOTAL DISABILITY. (a) With respect to providing a type of coverage for which Section 1252.102 requires an extension of benefits for an individual with a total disability, a succeeding carrier replacing a previous carrier's plan that is not subject to that section must provide, subject to Subsection (b), the lesser of:
(1) extended benefit coverage that the previous carrier would have been required to provide under Section 1252.102 if the previous carrier had been subject to that section; or
(2) extended benefit coverage that the succeeding carrier is required to provide under Section 1252.102.
(b) The extended benefit coverage may be reduced by any benefits actually payable under the previous carrier's health benefit plan.
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 1252 - Discontinuation and Replacement of Group and Group-Type Health Benefit Plan Coverage
Subchapter C. Replacement of Coverage
Section 1252.201. Total Disability Status
Section 1252.202. Effective Date of Coverage Under Replacement Plan
Section 1252.203. Extension of Benefits for Total Disability
Section 1252.204. Coverage for Preexisting Conditions
Section 1252.205. Waiting Period
Section 1252.206. Determination of Benefits Available Under Replaced Plan