Sec. 846.206. RENEWABILITY OF COVERAGE; CANCELLATION. (a) Except as provided by Section 846.207, a multiple employer welfare arrangement shall renew the health benefit plan, at the employer's option, unless:
(1) a contribution has not been paid as required by the terms of the plan;
(2) the employer has committed fraud or has intentionally misrepresented a material fact;
(3) the employer has not complied with the terms of the health benefit plan document;
(4) the health benefit plan is ceasing to offer any coverage in a geographic area; or
(5) there has been a failure to meet the terms of an applicable collective bargaining agreement or other agreement requiring or authorizing contributions to the health benefit plan, including a failure to renew the agreement or to employ employees covered by the agreement.
(b) A multiple employer welfare arrangement may refuse to renew the coverage of a participating employee or dependent for fraud or intentional misrepresentation of a material fact by that person.
(c) A multiple employer welfare arrangement may not cancel a health benefit plan except for a reason specified for refusal to renew under Subsection (a). An arrangement may not cancel the coverage of a participating employee or dependent except for a reason specified for refusal to renew under Subsection (b).
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