Sec. 846.205. CERTAIN LIMITATIONS OR EXCLUSIONS OF COVERAGE PROHIBITED. (a) A multiple employer welfare arrangement's plan document may not limit or exclude, by use of a rider or amendment applicable to a specific individual, coverage by type of illness, treatment, medical condition, or accident.
(b) This section does not preclude a multiple employer welfare arrangement from limiting or excluding coverage for a preexisting condition in accordance with Section 846.202.
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.
Structure Texas Statutes
Title 6 - Organization of Insurers and Related Entities
Subtitle C - Life, Health, and Accident Insurers and Related Entities
Chapter 846 - Multiple Employer Welfare Arrangements
Subchapter E. Provision of Coverage
Section 846.201. Benefits Allowed
Section 846.202. Preexisting Condition Provision
Section 846.203. Treatment of Certain Conditions as Preexisting Prohibited
Section 846.204. Waiting Period Permitted
Section 846.205. Certain Limitations or Exclusions of Coverage Prohibited
Section 846.206. Renewability of Coverage; Cancellation
Section 846.207. Refusal to Renew
Section 846.208. Notice to Covered Persons
Section 846.209. Written Statement of Denial, Cancellation, or Refusal to Renew