Sec. 1501.154. MINIMUM PARTICIPATION REQUIREMENT. (a) Except as provided by Section 1501.155, coverage is available under a small employer health benefit plan if at least 75 percent of a small employer's eligible employees elect to participate in the plan.
(b) If a small employer offers multiple health benefit plans, the collective participation in those plans must be at least:
(1) 75 percent of the employer's eligible employees; or
(2) if applicable, the lower participation level offered by the small employer health benefit plan issuer under Section 1501.155.
(c) A small employer health benefit plan issuer may elect not to offer a health benefit plan to a small employer that offers multiple health benefit plans if:
(1) the plans are provided by more than one issuer; and
(2) the issuer would have less than 75 percent of the employer's eligible employees enrolled in the issuer's plan.
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. 11.054(a), 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 D. Guaranteed Issue of Small Employer Health Benefit Plans; Continuation of Coverage
Section 1501.151. Guaranteed Issue
Section 1501.152. Exclusion of Eligible Employee or Dependent Prohibited
Section 1501.153. Employer Contribution
Section 1501.154. Minimum Participation Requirement
Section 1501.155. Exception to Minimum Participation Requirement
Section 1501.156. Employee Enrollment; Waiting Period
Section 1501.157. Coverage for Newborn Children
Section 1501.158. Coverage for Adopted Children
Section 1501.159. Continuation of Coverage for Certain Dependents