Sec. 1501.254. ALCOHOL AND SUBSTANCE ABUSE BENEFITS. (a) This section applies only if the basic coverage health benefit plan developed by the commissioner under Section 1501.253 includes coverage for alcohol and substance abuse benefits.
(b) A small employer health benefit plan issuer may offer and the employees of a small employer group may accept a basic coverage health benefit plan without coverage for alcohol and substance abuse benefits if:
(1) at least 50 percent of the employees in writing:
(A) waive the benefits; and
(B) indicate that they have undergone alcoholism or substance abuse treatment or counseling within the preceding three years; and
(2) the exclusion of those benefits applies only to those employees.
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 F. Coverage Under Small Employer Health Benefit Plans
Section 1501.251. Exception From Certain Mandated Benefit Requirements
Section 1501.252. Health Benefit Plans
Section 1501.254. Alcohol and Substance Abuse Benefits
Section 1501.255. Health Maintenance Organization Plans
Section 1501.256. Coordination With Federal Law
Section 1501.2561. Waiver of Certain Federal Requirements
Section 1501.257. Cost Containment