Sec. 1501.314. REINSURANCE. (a) A small employer health benefit plan issuer may reinsure risks covered under a small employer health benefit plan with the system as provided by this subchapter.
(b) The system shall reinsure the level of coverage provided under the small employer health benefit plan.
(c) A small employer health benefit plan issuer may reinsure:
(1) an entire small employer group not later than the 60th day after the date the group's coverage under the small employer health benefit plan takes effect;
(2) an eligible employee of a small employer or the employee's dependent not later than the 60th day after the date the person's coverage takes effect; or
(3) a newly eligible employee of a reinsured small employer group, the employee's dependent, or an individual covered under the small employer health benefit plan not later than the 60th day after the date the individual's coverage takes effect.
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 G. Reinsurance for Small Employer Health Benefit Plans
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 1501.315. 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