Sec. 1351.008. REJECTION OF COVERAGE BY PLAN HOLDER; NEGOTIATION OF ALTERNATIVE COVERAGE. (a) If the holder of a group health benefit plan rejects in writing the coverage required under this chapter, the plan issuer:
(1) may not include the coverage in the plan; and
(2) is not required to:
(A) offer the coverage to the plan holder; or
(B) provide the coverage under the plan.
(b) If a plan holder rejects in writing the coverage required under this chapter, the plan holder and the plan issuer may negotiate coverage for home health services other than the coverage required under this chapter.
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 E - Benefits Payable Under Health Coverages
Chapter 1351 - Home Health Services
Section 1351.002. Applicability of Chapter
Section 1351.003. Applicability of General Provisions of Other Law
Section 1351.005. Coverage Required
Section 1351.006. Reimbursement for Home Health Services: Physician Certification Required
Section 1351.007. Limitations and Exclusions on Coverage Permitted
Section 1351.008. Rejection of Coverage by Plan Holder; Negotiation of Alternative Coverage