Texas Statutes
Subchapter G. Reinsurance for Small Employer Health Benefit Plans
Section 1501.312. Application to Operate as Risk-Assuming Health Benefit Plan Issuer

Sec. 1501.312. APPLICATION TO OPERATE AS RISK-ASSUMING HEALTH BENEFIT PLAN ISSUER. (a) A small employer health benefit plan issuer may apply to operate as a risk-assuming health benefit plan issuer by filing an application with the commissioner in a form and manner prescribed by the commissioner.
(b) In evaluating an application, the commissioner shall consider the small employer health benefit plan issuer's:
(1) financial condition;
(2) history of rating and underwriting small employer groups;
(3) commitment to market fairly to all small employers in the state or in the issuer's established geographic service area; and
(4) experience managing the risk of small employer groups.
(c) The commissioner shall provide public notice of an application and shall provide at least a 60-day period for public comment before making a decision on the application. If the commissioner does not act on the application before the 90th day after the date the commissioner receives the application, the issuer may request and the commissioner shall grant a hearing.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.

Structure Texas Statutes

Texas Statutes

Insurance Code

Title 8 - Health Insurance and Other Health Coverages

Subtitle G - Health Coverage Availability

Chapter 1501 - Health Insurance Portability and Availability Act

Subchapter G. Reinsurance for Small Employer Health Benefit Plans

Section 1501.301. Definitions

Section 1501.302. Texas Health Reinsurance System

Section 1501.3021. Authorization of Operation

Section 1501.3022. Suspension of Operation

Section 1501.303. System Board of Directors

Section 1501.304. Open Meetings; Public Information

Section 1501.305. Board Member Immunity

Section 1501.306. System Plan of Operation

Section 1501.307. System Powers

Section 1501.308. System Notes as Legal Investment for Small Employer Health Benefit Plan Issuer

Section 1501.309. System Audit

Section 1501.310. Election of Status

Section 1501.311. Change in Status

Section 1501.312. Application to Operate as Risk-Assuming Health Benefit Plan Issuer

Section 1501.313. Rescission of Approval to Operate as Risk-Assuming Health Benefit Plan Issuer

Section 1501.314. Reinsurance

Section 1501.315. Limits on Reinsurance

Section 1501.316. Termination of Reinsurance

Section 1501.317. Application of Managed Care Procedures

Section 1501.318. Premium Rates for Reinsurance

Section 1501.319. Determination of Net Loss

Section 1501.320. Assessments to Recover Net Losses

Section 1501.321. Limits on Assessments

Section 1501.322. Adjustment to Assessments on Federally Qualified Health Maintenance Organizations

Section 1501.323. Advance Interim Assessments

Section 1501.324. Limit on Total Assessments

Section 1501.325. Estimate of Assessments; Evaluation and Protection of System

Section 1501.326. Deferment of Assessment