Texas Statutes
Subchapter B. Coalitions and Cooperatives
Section 1501.062. Cooperative Not Insurer; Agents and Administrators

Sec. 1501.062. COOPERATIVE NOT INSURER; AGENTS AND ADMINISTRATORS. (a) A cooperative is not an insurer and the employees of the cooperative are not required to be licensed under Title 13. This exemption from licensure includes a health group cooperative that acts to provide information about and to solicit membership in the cooperative, subject to Section 1501.0581(d).
(b) An agent or third-party administrator used and compensated by a cooperative must be licensed as required by Title 13.
(c) An agent used and compensated by a cooperative may market the products and services sponsored by the cooperative without being appointed by each small or large employer health benefit plan issuer participating in the cooperative. The agent may not market any other product or service of a participating small or large employer health benefit plan issuer that is not sponsored by the cooperative unless the agent has been appointed by that issuer.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Amended by:
Acts 2005, 79th Leg., Ch. 728 (H.B. 2018), Sec. 11.052(b), eff. September 1, 2005.

Structure Texas Statutes

Texas Statutes

Insurance Code

Title 8 - Health Insurance and Other Health Coverages

Subtitle G - Health Coverage Availability

Chapter 1501 - Health Insurance Portability and Availability Act

Subchapter B. Coalitions and Cooperatives

Section 1501.051. Definitions

Section 1501.052. Texas Health Benefits Purchasing Cooperative; Board of Trustees

Section 1501.053. Texas Health Benefits Purchasing Cooperative: Executive Director and Other Employees

Section 1501.054. Regional Subdivisions of Texas Health Benefits Purchasing Cooperative

Section 1501.055. Applicability of Public Information Law to Texas Health Benefits Purchasing Cooperative

Section 1501.056. Private Purchasing Cooperatives and Health Group Cooperatives

Section 1501.057. Immunity

Section 1501.0575. Voluntary Participation by Issuer in Cooperative

Section 1501.058. Powers and Duties of Cooperatives

Section 1501.0581. Special Provisions Relating to Health Group Cooperatives

Section 1501.0582. Health Group Cooperative: Expedited Approval Process

Section 1501.059. Self-Insured or Self-Funded Plan Prohibited

Section 1501.060. Scope of Group Coverage

Section 1501.061. Requirements Applicable to Health Benefit Plan Issuers With Which Cooperative May Contract

Section 1501.062. Cooperative Not Insurer; Agents and Administrators

Section 1501.063. Status as Employer

Section 1501.064. Certain Use of Appropriated Money Prohibited

Section 1501.065. Certain Actions Based on Risk Characteristics or Health Status Prohibited

Section 1501.066. Election to Treat Participating Employers Separately for Rating Purposes

Section 1501.067. Eligible Single-Employee Business