Sec. 1501.204. INDEX RATES. Under a small employer health benefit plan:
(1) the index rate for a class of business may not exceed the index rate for any other class of business by more than 20 percent; and
(2) premium rates charged during a rating period to small employers in a class of business with similar case characteristics for the same or similar coverage, or premium rates that could be charged to those employers under the rating system for that class of business, may not vary from the index rate by more than 25 percent.
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 E. Underwriting and Rating of Small Employer Health Benefit Plans
Section 1501.202. Establishment of Classes of Business
Section 1501.203. Establishment of Classes of Business on Certain Bases Prohibited
Section 1501.205. Premium Rates: Establishment
Section 1501.206. Premium Rates: Adjustments
Section 1501.207. Premium Rate Adjustment in Closed Plan
Section 1501.208. Premium Rates: Industry Classification
Section 1501.209. Premium Rates: Number of Employees
Section 1501.210. Premium Rates: Nondiscrimination
Section 1501.211. Rules Concerning Premium Rates
Section 1501.212. Restricted Provider Network
Section 1501.213. Premium Rates: Health Maintenance Organization Health Benefit Plan