Sec. 1508.257. TOTAL ELIGIBLE ENROLLMENT DETERMINATION. (a) The commissioner shall determine total eligible enrollment under qualifying health benefit plans by dividing the total funds available for distribution from the fund by the estimated per covered individual annual cost of total claims reimbursement from the fund.
(b) At the end of the first year of enrollment and annually thereafter, the commissioner shall submit a report to the governor and the legislature regarding enrollment for the previous year and limitations on future enrollment that ensure that the program does not necessitate a substantial increase in funding to continue the program, as consistent with Section 1508.001.
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