Sec. 1367.206. PROHIBITED ACTIONS. Under the coverage required to be offered under this subchapter, a health benefit plan issuer may not:
(1) apply the cost of rehabilitative and habilitative therapies described by Section 1367.205(a) to an annual or lifetime maximum plan benefit or similar provision under the plan; or
(2) use the cost of rehabilitative or habilitative therapies described by Section 1367.205(a) as the sole justification for:
(A) increasing plan premiums; or
(B) terminating the insured's or enrollee's participation in the plan.
Added by Acts 2005, 79th Leg., Ch. 728 (H.B. 2018), Sec. 11.040(a), eff. September 1, 2005.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle E - Benefits Payable Under Health Coverages
Chapter 1367 - Coverage of Children
Subchapter E. Developmental Delays
Section 1367.202. Applicability of Subchapter
Section 1367.204. Offer of Coverage Required
Section 1367.205. Coverage of Certain Therapies