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
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