Sec. 1501.604. DECLINING COVERAGE. (a) A large employer health benefit plan issuer shall obtain a written waiver from each employee who meets the participation criteria and declines coverage under a health benefit plan offered to a large employer. The waiver must ensure that the employee was not induced or pressured to decline coverage because of the employee's health status related factors.
(b) A large employer health benefit plan issuer may not provide coverage to a large employer or the employer's employees if the issuer or an agent for the issuer knows that the employer has induced or pressured an employee who meets the participation criteria or a dependent of the employee to decline coverage because of the 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