Sec. 1508.256. CLAIMS EXPERIENCE DATA. (a) Based on available data and appropriate actuarial assumptions, the commissioner shall separately estimate the per covered individual annual cost of total claims reimbursement from the fund for qualifying health benefit plans.
(b) On request, a health benefit plan issuer participating in the program shall furnish to the department claims experience data for use in the estimates described by Subsection (a).
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