Sec. 1652.104. BENEFIT CHANGES. (a) Before the date on which a Medicare benefit change required by federal law takes effect, each entity providing in this state a Medicare supplement benefit plan existing on the effective date of the change shall file with the commissioner, in accordance with Chapter 1701:
(1) each appropriate premium adjustment necessary to produce the loss ratios originally anticipated for the applicable plan, accompanied by any supporting documents necessary to justify the adjustment; and
(2) each appropriate rider, endorsement, or plan form necessary to modify the coverage so as to eliminate benefit duplications with Medicare.
(b) A rider, endorsement, or plan form required by Subsection (a) must provide a clear description of the Medicare supplement benefits provided by the plan.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 4, eff. April 1, 2005.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle I - Specialized Coverages
Chapter 1652 - Medicare Supplement Benefit Plans
Subchapter C. Loss Ratio Standards
Section 1652.101. Loss Ratio Standards
Section 1652.102. Filing Requirements
Section 1652.103. Review of Premium Increases
Section 1652.104. Benefit Changes
Section 1652.105. Reporting Loss Ratio Information to Secretary of Health and Human Services