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
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 1501.052. Texas Health Benefits Purchasing Cooperative; Board of Trustees
Section 1501.054. Regional Subdivisions of Texas Health Benefits Purchasing Cooperative
Section 1501.056. Private Purchasing Cooperatives and Health Group Cooperatives
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 1501.062. 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