Sec. 1501.106. CERTAIN LIMITATIONS OR EXCLUSIONS OF COVERAGE PROHIBITED. (a) A small or large employer health benefit plan may not limit or exclude, by use of a rider or amendment applicable to a specific individual, coverage by type of illness, treatment, medical condition, or accident.
(b) This section does not preclude a small or large employer health benefit plan from limiting or excluding coverage for a preexisting condition in accordance with Section 1501.102.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 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 C. Provision of Coverage
Section 1501.101. Geographic Service Areas
Section 1501.102. Preexisting Condition Provision
Section 1501.103. Treatment of Certain Conditions as Preexisting Prohibited
Section 1501.104. Affiliation Period
Section 1501.105. Waiting Period Permitted
Section 1501.106. Certain Limitations or Exclusions of Coverage Prohibited
Section 1501.107. Discounts, Rebates, and Reductions
Section 1501.108. Renewability of Coverage; Cancellation
Section 1501.109. Refusal to Renew; Discontinuation of Coverage
Section 1501.110. Notice to Covered Persons
Section 1501.111. Written Statement of Denial, Cancellation, or Refusal to Renew Required