Sec. 1501.610. PREMIUM RATES; ADJUSTMENTS. (a) A large employer health benefit plan issuer may charge premiums in accordance with this section to the group of employees or dependents who meet the participation criteria and do not decline coverage.
(b) A large employer health benefit plan issuer may not charge an adjustment to premium rates for individual employees or dependents for health status related factors or duration of coverage. Any adjustment must be applied uniformly to the rates charged for all employees and dependents of employees of a large employer.
(c) Subsection (b) does not restrict the amount that a large employer may be charged for coverage.
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