Sec. 1501.209. PREMIUM RATES: NUMBER OF EMPLOYEES. A small employer health benefit plan issuer may use the number of employees and dependents of a small employer as a case characteristic in establishing premium rates for the group. The highest rate factor associated with a classification based on the number of employees and dependents of a small employer may not exceed by more than 20 percent the lowest rate factor associated with a classification based on the number of employees and dependents of a small employer.
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