Sec. 1508.253. REIMBURSEMENT REQUEST SUBMISSION. (a) A health benefit plan issuer seeking reimbursement from the fund shall submit a request for reimbursement in the form prescribed by the commissioner by rule.
(b) A health benefit plan issuer must request reimbursement from the fund annually, not later than the date determined by the commissioner, following the end of the calendar year for which the reimbursement requests are made.
(c) The commissioner may require a health benefit plan issuer participating in the program to submit claims data in connection with reimbursement requests as the commissioner determines to be necessary to ensure appropriate distribution of reimbursement funds and oversee the operation of the fund. The commissioner may require that the data be submitted on a per covered individual, aggregate, or categorical basis.
Added by Acts 2009, 81st Leg., R.S., Ch. 721 (S.B. 78), Sec. 2.01, eff. September 1, 2009.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle G - Health Coverage Availability
Chapter 1508 - Healthy Texas Program
Subchapter F. Healthy Texas Small Employer Premium Stabilization Fund
Section 1508.251. Establishment of Fund
Section 1508.252. Operation of Fund; Claim Eligibility
Section 1508.253. Reimbursement Request Submission
Section 1508.254. Fund Availability
Section 1508.255. Program Reporting
Section 1508.256. Claims Experience Data
Section 1508.257. Total Eligible Enrollment Determination
Section 1508.258. Evaluation and Protection of Fund; Employer Enrollment Suspension
Section 1508.259. Employer Enrollment Reactivation
Section 1508.260. Fund Administrator