Sec. 1271.301. ENTITLEMENT TO CONTINUATION OF GROUP COVERAGE. (a) In this section, "involuntary termination for cause" does not include termination for any health-related reason.
(b) A health maintenance organization shall provide a group coverage continuation privilege as required by and subject to the eligibility provisions of this subchapter.
(c) An enrollee is entitled to continue group coverage as provided by this subchapter if:
(1) the enrollee's coverage under a group contract is terminated for any reason except involuntary termination for cause; and
(2) the enrollee for at least three consecutive months immediately before the termination of coverage has been continuously covered under the group contract and under any previous group contract providing similar services and benefits that the current group contract replaced.
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
Chapter 1271 - Benefits Provided by Health Maintenance Organizations; Evidence of Coverage; Charges
Subchapter G. Continuation of Coverage, Conversion Contracts, and Renewal
Section 1271.301. Entitlement to Continuation of Group Coverage
Section 1271.302. Request for Continued Coverage; Deadline
Section 1271.303. Payment for Continued Coverage
Section 1271.304. Termination of Continued Coverage
Section 1271.306. Conversion Contracts
Section 1271.307. Renewability of Coverage: Individual Health Care Plans and Conversion Contracts