Sec. 1501.602. COVERAGE REQUIREMENTS. (a) A large employer health benefit plan issuer:
(1) may refuse to provide coverage to a large employer in accordance with the issuer's underwriting standards and criteria;
(2) shall accept or reject the entire group of individuals who meet the participation criteria and choose coverage; and
(3) may exclude only those employees or dependents who decline coverage.
(b) On issuance of a health benefit plan to a large employer, a large employer health benefit plan issuer shall provide coverage to the employees who meet the participation criteria without regard to an individual's health status related factors.
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 M. Large Employer Health Benefit Plans
Section 1501.601. Participation Criteria
Section 1501.602. Coverage Requirements
Section 1501.603. Exclusion of Eligible Employee or Dependent Prohibited
Section 1501.604. Declining Coverage
Section 1501.605. Minimum Contribution or Participation Requirements
Section 1501.606. Employee Enrollment; Waiting Period
Section 1501.607. Coverage for Newborn Children
Section 1501.608. Coverage for Adopted Children
Section 1501.609. Coverage for Unmarried Children
Section 1501.610. Premium Rates; Adjustments
Section 1501.611. Marketing Requirements
Section 1501.612. Encouraging Exclusion of Employee Prohibited
Section 1501.615. Additional Reporting Requirements
Section 1501.616. Applicability to Third-Party Administrator