Texas Statutes
Subchapter B. Coalitions and Cooperatives
Section 1501.063. Status as Employer

Sec. 1501.063. STATUS AS EMPLOYER. (a) A small employer health coalition that otherwise meets the description of a small employer is considered a single small employer for all purposes under this chapter.
(b) A health group cooperative that is composed of only small employers, only large employers, or both small and large employers is considered a single employer under this code.
(b-1) A health group cooperative that is composed only of small employers and that has made the election described by Section 1501.0581(o)(1) in accordance with Subsection (p) of that section shall be treated in the same manner as a small employer for the purposes of this chapter, including for the purposes of any provision relating to premium rates and issuance and renewal of coverage.
(b-2) A health group cooperative that is composed only of small employers and that has not made the election described by Section 1501.0581(o)(1) in accordance with Subsection (p) of that section, or a health group cooperative that is composed of both small and large employers, may be treated in the same manner as a large employer for the purposes of this chapter, including for the purposes of any provision relating to premium rates and issuance and renewal of coverage.
(b-3) Except as provided by Section 1501.0581(k), a health group cooperative shall have sole authority to make benefit elections and perform other administrative functions under this code for the cooperative's participating employers.
(c) Any other cooperative formed under this subchapter is considered an employer solely for the purposes of benefit elections under this code.
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(c), eff. September 1, 2005.
Acts 2005, 79th Leg., Ch. 823 (S.B. 805), Sec. 3, eff. September 1, 2005.
Acts 2007, 80th Leg., R.S., Ch. 547 (S.B. 1255), Sec. 2, eff. September 1, 2007.
Acts 2011, 82nd Leg., R.S., Ch. 1067 (S.B. 859), Sec. 4, eff. June 17, 2011.

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