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Chapter 1201 - Accident and Health Insurance
Subchapter A. General Provisions
Section 1201.001. Definitions - Sec. 1201.001. DEFINITIONS. In this chapter: (1) "Accident and health...
Section 1201.002. Purpose - Sec. 1201.002. PURPOSE. The purpose of this chapter is to:...
Section 1201.003. Applicability of Chapter - Sec. 1201.003. APPLICABILITY OF CHAPTER. (a) This chapter applies only...
Section 1201.004. Construction of Chapter - Sec. 1201.004. CONSTRUCTION OF CHAPTER. This chapter does not enlarge...
Section 1201.005. References to Chapter - Sec. 1201.005. REFERENCES TO CHAPTER. In this chapter, a reference...
Section 1201.006. Rulemaking Authority - Sec. 1201.006. RULEMAKING AUTHORITY. The commissioner may adopt reasonable rules...
Section 1201.007. Notice and Hearing - Sec. 1201.007. NOTICE AND HEARING. The commissioner may adopt a...
Section 1201.008. Judicial Review - Sec. 1201.008. JUDICIAL REVIEW. An insurer that is dissatisfied with...
Section 1201.009. Nonconforming Policy - Sec. 1201.009. NONCONFORMING POLICY. (a) This chapter governs the rights,...
Section 1201.010. Third-Party Ownership of Policy - Sec. 1201.010. THIRD-PARTY OWNERSHIP OF POLICY. The use of "insured"...
Section 1201.011. Coverage for Premium Period With Limitations by Age or Date; Misstatement of Age of Insured - Sec. 1201.011. COVERAGE FOR PREMIUM PERIOD WITH LIMITATIONS BY AGE...
Section 1201.012. Defense of Claim - Sec. 1201.012. DEFENSE OF CLAIM. The following actions by an...
Section 1201.013. Programs Promoting Disease Prevention, Wellness, and Health - Sec. 1201.013. PROGRAMS PROMOTING DISEASE PREVENTION, WELLNESS, AND HEALTH. (a)...
Subchapter B. Policy Terms
Section 1201.051. Entire Consideration - Sec. 1201.051. ENTIRE CONSIDERATION. An individual accident and health insurance...
Section 1201.052. Time of Effectiveness and Termination - Sec. 1201.052. TIME OF EFFECTIVENESS AND TERMINATION. An individual accident...
Section 1201.053. Persons Insured - Sec. 1201.053. PERSONS INSURED. (a) Except as provided by this...
Section 1201.054. Appearance of Text - Sec. 1201.054. APPEARANCE OF TEXT. (a) In this section, "text"...
Section 1201.055. Exceptions and Reductions of Indemnity - Sec. 1201.055. EXCEPTIONS AND REDUCTIONS OF INDEMNITY. (a) An individual...
Section 1201.056. Form Number - Sec. 1201.056. FORM NUMBER. Each form that constitutes a part...
Section 1201.057. Incorporation of or Reference to Other Documents - Sec. 1201.057. INCORPORATION OF OR REFERENCE TO OTHER DOCUMENTS. (a)...
Section 1201.058. Notification That Policy Is Returnable; Effect of Return - Sec. 1201.058. NOTIFICATION THAT POLICY IS RETURNABLE; EFFECT OF RETURN....
Section 1201.059. Termination of Coverage Based on Age of Child in Individual, Blanket, or Group Policy - Sec. 1201.059. TERMINATION OF COVERAGE BASED ON AGE OF CHILD...
Section 1201.060. Required Definition of "Emergency Care" in Individual or Group Policy - Sec. 1201.060. REQUIRED DEFINITION OF "EMERGENCY CARE" IN INDIVIDUAL OR...
Section 1201.0601. Required Definitions: Specified Disease Policy - Sec. 1201.0601. REQUIRED DEFINITIONS: SPECIFIED DISEASE POLICY. An individual or...
Section 1201.061. Coverage for Adopted Child - Sec. 1201.061. COVERAGE FOR ADOPTED CHILD. (a) An individual accident...
Section 1201.062. Coverage for Certain Children in Individual or Group Policy or in Plan or Program - Sec. 1201.062. COVERAGE FOR CERTAIN CHILDREN IN INDIVIDUAL OR GROUP...
Section 1201.063. Prohibition of Certain Criteria Relating to Child's Coverage in Individual or Group Policy - Sec. 1201.063. PROHIBITION OF CERTAIN CRITERIA RELATING TO CHILD'S COVERAGE...
Section 1201.064. Coverage for Child of Spouse in Individual or Group Policy - Sec. 1201.064. COVERAGE FOR CHILD OF SPOUSE IN INDIVIDUAL OR...
Section 1201.065. Age and School Enrollment Eligibility Criteria for Dependent Children in Individual or Group Policy; Late Enrollment - Sec. 1201.065. AGE AND SCHOOL ENROLLMENT ELIGIBILITY CRITERIA FOR DEPENDENT...
Subchapter C. General Policy Standards and Provisions
Section 1201.101. Standards for Policy Provisions - Sec. 1201.101. STANDARDS FOR POLICY PROVISIONS. (a) The commissioner shall...
Section 1201.102. Prohibition of Policy Provisions - Sec. 1201.102. PROHIBITION OF POLICY PROVISIONS. The commissioner may adopt...
Section 1201.103. Compliance With Minimum Standards for Benefits - Sec. 1201.103. COMPLIANCE WITH MINIMUM STANDARDS FOR BENEFITS. (a) An...
Section 1201.104. Minimum Standards for Benefits - Sec. 1201.104. MINIMUM STANDARDS FOR BENEFITS. (a) For individual accident...
Section 1201.105. Minimum Standards for Benefits for Long-Term Care in Individual, Group, or Blanket Policy - Sec. 1201.105. MINIMUM STANDARDS FOR BENEFITS FOR LONG-TERM CARE IN...
Section 1201.106. Identification of Policies According to Coverage Provided - Sec. 1201.106. IDENTIFICATION OF POLICIES ACCORDING TO COVERAGE PROVIDED. The...
Section 1201.107. Outline of Coverage Required - Sec. 1201.107. OUTLINE OF COVERAGE REQUIRED. (a) An outline of...
Section 1201.108. Format and Content of Outline of Coverage - Sec. 1201.108. FORMAT AND CONTENT OF OUTLINE OF COVERAGE. (a)...
Section 1201.109. Notice of Rate Increase for Major Medical Expense Insurance Policy - Sec. 1201.109. NOTICE OF RATE INCREASE FOR MAJOR MEDICAL EXPENSE...
Subchapter D. Preexisting Conditions
Section 1201.151. Compliance With Subchapter; Prohibition of Defense - Sec. 1201.151. COMPLIANCE WITH SUBCHAPTER; PROHIBITION OF DEFENSE. Except as...
Section 1201.152. Coverage Under Simplified Application Form - Sec. 1201.152. COVERAGE UNDER SIMPLIFIED APPLICATION FORM. (a) Notwithstanding Clause...
Section 1201.153. Coverage for Individuals Age 65 or Older - Sec. 1201.153. COVERAGE FOR INDIVIDUALS AGE 65 OR OLDER. (a)...
Section 1201.154. Coverage for Certain Previously Covered Persons - Sec. 1201.154. COVERAGE FOR CERTAIN PREVIOUSLY COVERED PERSONS. (a) In...
Subchapter E. Required Policy Provisions
Section 1201.201. Policy Provisions Required - Sec. 1201.201. POLICY PROVISIONS REQUIRED. (a) Except as provided by...
Section 1201.202. Order of Required Policy Provisions - Sec. 1201.202. ORDER OF REQUIRED POLICY PROVISIONS. (a) Except as...
Section 1201.203. Other Policy Provisions - Sec. 1201.203. OTHER POLICY PROVISIONS. A policy provision that is...
Section 1201.204. Policy Provisions Required by Other Jurisdiction - Sec. 1201.204. POLICY PROVISIONS REQUIRED BY OTHER JURISDICTION. An individual...
Section 1201.205. Policy Provisions for Policy Delivered Outside This State - Sec. 1201.205. POLICY PROVISIONS FOR POLICY DELIVERED OUTSIDE THIS STATE....
Section 1201.206. Filing Procedure - Sec. 1201.206. FILING PROCEDURE. (a) The commissioner may adopt reasonable...
Section 1201.207. Policy Provision: Entirety of Contract; Policy Changes - Sec. 1201.207. POLICY PROVISION: ENTIRETY OF CONTRACT; POLICY CHANGES. An...
Section 1201.208. Policy Provision: Incontestability - Sec. 1201.208. POLICY PROVISION: INCONTESTABILITY. (a) Except as provided by...
Section 1201.209. Policy Provision: Grace Period - Sec. 1201.209. POLICY PROVISION: GRACE PERIOD. (a) An individual accident...
Section 1201.210. Policy Provision: Reinstatement - Sec. 1201.210. POLICY PROVISION: REINSTATEMENT. (a) Except as provided by...
Section 1201.211. Policy Provision: Notice of Claim - Sec. 1201.211. POLICY PROVISION: NOTICE OF CLAIM. (a) Except as...
Section 1201.212. Policy Provision: Claim Forms - Sec. 1201.212. POLICY PROVISION: CLAIM FORMS. (a) Except as provided...
Section 1201.213. Policy Provision: Proof of Loss - Sec. 1201.213. POLICY PROVISION: PROOF OF LOSS. An individual accident...
Section 1201.214. Policy Provision: Time of Payment of Claims - Sec. 1201.214. POLICY PROVISION: TIME OF PAYMENT OF CLAIMS. (a)...
Section 1201.215. Policy Provision: Payment of Claims - Sec. 1201.215. POLICY PROVISION: PAYMENT OF CLAIMS. (a) Except as...
Section 1201.216. Policy Provision: Physical Examinations and Autopsy - Sec. 1201.216. POLICY PROVISION: PHYSICAL EXAMINATIONS AND AUTOPSY. An individual...
Section 1201.217. Policy Provision: Legal Actions - Sec. 1201.217. POLICY PROVISION: LEGAL ACTIONS. An individual accident and...
Section 1201.218. Policy Provision: Change of Beneficiary - Sec. 1201.218. POLICY PROVISION: CHANGE OF BENEFICIARY. (a) Except as...
Section 1201.219. Policy Provision: Change of Occupation - Sec. 1201.219. POLICY PROVISION: CHANGE OF OCCUPATION. An individual accident...
Section 1201.220. Policy Provision: Misstatement of Age - Sec. 1201.220. POLICY PROVISION: MISSTATEMENT OF AGE. An individual accident...
Section 1201.221. Policy Provision: Excess Insurance - Sec. 1201.221. POLICY PROVISION: EXCESS INSURANCE. An individual accident and...
Section 1201.222. Policy Provision: Relation of Earnings to Insurance - Sec. 1201.222. POLICY PROVISION: RELATION OF EARNINGS TO INSURANCE. (a)...
Section 1201.223. Policy Provision: Unpaid Premium - Sec. 1201.223. POLICY PROVISION: UNPAID PREMIUM. An individual accident and...
Section 1201.224. Policy Provision: Cancellation - Sec. 1201.224. POLICY PROVISION: CANCELLATION. An individual accident and health...
Section 1201.225. Policy Provision: Conformity With State Statutes - Sec. 1201.225. POLICY PROVISION: CONFORMITY WITH STATE STATUTES. An individual...
Section 1201.226. Policy Provision: Illegal Occupation - Sec. 1201.226. POLICY PROVISION: ILLEGAL OCCUPATION. An individual accident and...
Subchapter F. Application for Policy
Section 1201.271. Alteration of Policy Application - Sec. 1201.271. ALTERATION OF POLICY APPLICATION. (a) A person may...
Section 1201.272. False Statements - Sec. 1201.272. FALSE STATEMENTS. The falsity of a statement in...
Section 1201.273. Binding Statements - Sec. 1201.273. BINDING STATEMENTS. An insured may not be bound...
Section 1201.274. Insurer's Evidentiary Use of Application for Reinstatement or Renewal - Sec. 1201.274. INSURER'S EVIDENTIARY USE OF APPLICATION FOR REINSTATEMENT OR...
Subchapter O. Enforcement
Section 1201.701. Civil Penalty - Sec. 1201.701. CIVIL PENALTY. A person, partnership, or corporation that...
Section 1201.702. Action Against Certificate of Authority or License - Sec. 1201.702. ACTION AGAINST CERTIFICATE OF AUTHORITY OR LICENSE. The...
Chapter 1202 - Cancellation and Continuation of Policies in General
Subchapter A. Continuous Policies
Section 1202.001. Continuous Policies - Sec. 1202.001. CONTINUOUS POLICIES. (a) A guaranteed renewable insurance policy...
Subchapter B. Individual Health Insurance Policies
Section 1202.051. Renewability and Continuation of Individual Health Insurance Policies - Sec. 1202.051. RENEWABILITY AND CONTINUATION OF INDIVIDUAL HEALTH INSURANCE POLICIES....
Section 1202.052. Cancellation Prohibited for AIDS or HIV - Sec. 1202.052. CANCELLATION PROHIBITED FOR AIDS OR HIV. (a) In...
Chapter 1203 - Coordination of Benefits Provisions
Subchapter A. Supplemental Insurance Policies
Section 1203.001. Applicability of Subchapter - Sec. 1203.001. APPLICABILITY OF SUBCHAPTER. (a) This subchapter applies only...
Section 1203.002. Certain Coordination of Benefits Provisions Prohibited - Sec. 1203.002. CERTAIN COORDINATION OF BENEFITS PROVISIONS PROHIBITED. (a) An...
Section 1203.003. Certain Coordination of Benefits Provisions Void - Sec. 1203.003. CERTAIN COORDINATION OF BENEFITS PROVISIONS VOID. A provision...
Subchapter B. Dental Insurance
Section 1203.051. Applicability of Subchapter; Exception - Sec. 1203.051. APPLICABILITY OF SUBCHAPTER; EXCEPTION. (a) This subchapter applies...
Section 1203.052. Coordination of Benefits Between Primary and Secondary Insurers - Sec. 1203.052. COORDINATION OF BENEFITS BETWEEN PRIMARY AND SECONDARY INSURERS....
Section 1203.053. Certain Coordination of Benefits Provisions Prohibited - Sec. 1203.053. CERTAIN COORDINATION OF BENEFITS PROVISIONS PROHIBITED. An insurance...
Section 1203.054. Certain Coordination of Benefits Provisions Void - Sec. 1203.054. CERTAIN COORDINATION OF BENEFITS PROVISIONS VOID. A provision...
Chapter 1204 - Procedures for Payment of Certain Health and Accident Insurance Policy or Plan Benefits
Subchapter A. Payments to Certain Public Hospitals
Section 1204.001. Nonapplicability to Certain Facilities - Sec. 1204.001. NONAPPLICABILITY TO CERTAIN FACILITIES. This subchapter does not...
Section 1204.002. Benefits Payable for Treatment Provided by Hospital Owned by State or Unit of Local Government - Sec. 1204.002. BENEFITS PAYABLE FOR TREATMENT PROVIDED BY HOSPITAL OWNED...
Subchapter B. Assignment of Benefit Payments
Section 1204.051. Definitions - Sec. 1204.051. DEFINITIONS. In this subchapter: (1) "Covered person" means...
Section 1204.052. Applicability to Certain Plans or Programs - Sec. 1204.052. APPLICABILITY TO CERTAIN PLANS OR PROGRAMS. This subchapter...
Section 1204.053. Assignment of Benefits - Sec. 1204.053. ASSIGNMENT OF BENEFITS. (a) An insurer may not...
Section 1204.054. Payment of Benefits According to Assignment - Sec. 1204.054. PAYMENT OF BENEFITS ACCORDING TO ASSIGNMENT. An insurer...
Section 1204.055. Contractual Responsibility for Deductibles and Copayments - Sec. 1204.055. CONTRACTUAL RESPONSIBILITY FOR DEDUCTIBLES AND COPAYMENTS. (a) The...
Subchapter C. Uniform Claim Billing Forms
Section 1204.101. Definitions - Sec. 1204.101. DEFINITIONS. In this subchapter: (1) "Health benefit plan"...
Section 1204.102. Required Claim Billing Forms - Sec. 1204.102. REQUIRED CLAIM BILLING FORMS. A provider who seeks...
Subchapter D. Payments for Certain Publicly Provided Services
Section 1204.151. Definition - Sec. 1204.151. DEFINITION. In this subchapter, "policy" means an individual...
Section 1204.152. Payment for Certain Expenses Incurred by Texas Department of Human Services - Sec. 1204.152. PAYMENT FOR CERTAIN EXPENSES INCURRED BY TEXAS DEPARTMENT...
Section 1204.153. Payments to Texas Department of Human Services for Certain Children - Sec. 1204.153. PAYMENTS TO TEXAS DEPARTMENT OF HUMAN SERVICES FOR...
Section 1204.154. Uniform Provisions - Sec. 1204.154. UNIFORM PROVISIONS. (a) The commissioner shall adopt uniform...
Subchapter E. Exclusionary Clauses
Section 1204.201. Prohibition of Exclusion of Certain Medical Assistance Benefits - Sec. 1204.201. PROHIBITION OF EXCLUSION OF CERTAIN MEDICAL ASSISTANCE BENEFITS....
Subchapter F. Payment of Benefits to Conservator of Minor
Section 1204.251. Payment to Conservator Other Than Group Member - Sec. 1204.251. PAYMENT TO CONSERVATOR OTHER THAN GROUP MEMBER. (a)...
Section 1204.252. Preconditions for Payment; Exceptions - Sec. 1204.252. PRECONDITIONS FOR PAYMENT; EXCEPTIONS. (a) In accordance with...
Section 1204.253. Rules - Sec. 1204.253. RULES. The commissioner may adopt rules to ensure...
Chapter 1205 - Certification of Creditable Coverage
Section 1205.001. Applicability of Chapter - Sec. 1205.001. APPLICABILITY OF CHAPTER. This chapter applies only to...
Section 1205.002. Certification of Coverage - Sec. 1205.002. CERTIFICATION OF COVERAGE. (a) A health benefit plan...
Section 1205.003. Rules - Sec. 1205.003. RULES. The commissioner shall adopt rules as necessary...
Section 1205.004. Creditable Coverage - Sec. 1205.004. CREDITABLE COVERAGE. (a) An individual's coverage is creditable...
Chapter 1206 - Denial of Health Benefit Plan Enrollment Based on Existing Coverage Prohibited
Section 1206.001. Applicability of Chapter - Sec. 1206.001. APPLICABILITY OF CHAPTER. This chapter applies only to...
Section 1206.002. Exception - Sec. 1206.002. EXCEPTION. This chapter does not apply to: (1)...
Section 1206.003. Denial of Enrollment Prohibited - Sec. 1206.003. DENIAL OF ENROLLMENT PROHIBITED. A health benefit plan...
Section 1206.004. Violation of Chapter: Unfair Discrimination - Sec. 1206.004. VIOLATION OF CHAPTER: UNFAIR DISCRIMINATION. A health benefit...
Chapter 1207 - Enrollment of Medical Assistance Recipients and Children Eligible for State Child Health Plan
Section 1207.001. Applicability of Chapter - Sec. 1207.001. APPLICABILITY OF CHAPTER. This chapter applies only to...
Section 1207.002. Enrollment Required - Sec. 1207.002. ENROLLMENT REQUIRED. (a) A group health benefit plan...
Section 1207.003. Effective Date of Enrollment - Sec. 1207.003. EFFECTIVE DATE OF ENROLLMENT. (a) Unless enrollment occurs...
Section 1207.004. Termination of Enrollment - Sec. 1207.004. TERMINATION OF ENROLLMENT. (a) Notwithstanding any other requirement...
Chapter 1208 - Identity of Available Employee of Health Benefit Plan Issuer
Section 1208.001. Applicability of Chapter - Sec. 1208.001. APPLICABILITY OF CHAPTER. This chapter applies only to...
Section 1208.002. Disclosure Required - Sec. 1208.002. DISCLOSURE REQUIRED. After an oral or written request...
Chapter 1210 - Notice of Certain Policy Provisions
Section 1210.001. Notice Required - Sec. 1210.001. NOTICE REQUIRED. A policy, contract, or certificate of...
Chapter 1211 - Waivers Regarding Certain Federal Health Plans
Section 1211.001. Waiver of Certain Provisions for Certain Federal Plans - INSURANCE CODE TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES...
Chapter 1213 - Electronic Health Care Transactions
Section 1213.001. Definition of Health Benefit Plan - Sec. 1213.001. DEFINITION OF HEALTH BENEFIT PLAN. (a) In this...
Section 1213.002. Electronic Submission of Claims - Sec. 1213.002. ELECTRONIC SUBMISSION OF CLAIMS. (a) The issuer of...
Section 1213.003. Electronic Submission of Claims: Waiver - Sec. 1213.003. ELECTRONIC SUBMISSION OF CLAIMS: WAIVER. (a) A contract...
Section 1213.004. Mode of Transmission - Sec. 1213.004. MODE OF TRANSMISSION. The issuer of a health...
Section 1213.005. Certain Charges Prohibited - Sec. 1213.005. CERTAIN CHARGES PROHIBITED. A health benefit plan may...
Section 1213.006. Rules - Sec. 1213.006. RULES. The commissioner may adopt rules as necessary...
Chapter 1214 - Advertising for Certain Health Benefits
Section 1214.001. Applicability of Chapter - Sec. 1214.001. APPLICABILITY OF CHAPTER. This chapter applies only to...
Section 1214.002. Exception - Sec. 1214.002. EXCEPTION. This chapter does not apply to: (1)...
Section 1214.003. Rate Information Disclaimers - Sec. 1214.003. RATE INFORMATION DISCLAIMERS. (a) Subject to Chapter 541...
Chapter 1215 - Reporting of Claims Information
Section 1215.001. Definitions - Sec. 1215.001. DEFINITIONS. (a) Except as provided by Subsection (b),...
Section 1215.002. Applicability of Chapter to Governmental Entity; Applicability of Other Law With Reference to Governmental Entity - Sec. 1215.002. APPLICABILITY OF CHAPTER TO GOVERNMENTAL ENTITY; APPLICABILITY OF...
Section 1215.003. Receipt of and Response to Request for Claim Information - Sec. 1215.003. RECEIPT OF AND RESPONSE TO REQUEST FOR CLAIM...
Section 1215.004. Request for Additional Information - Sec. 1215.004. REQUEST FOR ADDITIONAL INFORMATION. (a) On receipt of...
Section 1215.005. Compliance With Chapter Does Not Create Liability - Sec. 1215.005. COMPLIANCE WITH CHAPTER DOES NOT CREATE LIABILITY. A...
Section 1215.006. Administrative Penalties - Sec. 1215.006. ADMINISTRATIVE PENALTIES. A health insurance issuer that does...
Chapter 1216 - Out-of-Country Coverage Prohibited
Section 1216.001. Definitions - Sec. 1216.001. DEFINITIONS. In this chapter: (1) "Enrollee" means an...
Section 1216.002. Applicability of Chapter - Sec. 1216.002. APPLICABILITY OF CHAPTER. (a) This chapter applies only...
Section 1216.003. Exception - Sec. 1216.003. EXCEPTION. This chapter does not apply to: (1)...
Section 1216.004. Out-of-Country Care Prohibited - Sec. 1216.004. OUT-OF-COUNTRY CARE PROHIBITED. A health benefit plan issuer...
Chapter 1217 - Standard Request Form for Prior Authorization of Health Care Services
Section 1217.001. Definitions - Sec. 1217.001. DEFINITIONS. In this chapter: (1) "Health benefit plan...
Section 1217.002. Applicability of Chapter - Sec. 1217.002. APPLICABILITY OF CHAPTER. (a) This chapter applies only...
Section 1217.003. Exception - Sec. 1217.003. EXCEPTION. This chapter does not apply to: (1)...
Section 1217.004. Standard Form - Sec. 1217.004. STANDARD FORM. (a) The commissioner by rule shall:...
Section 1217.005. Advisory Committee on Uniform Prior Authorization Forms - Sec. 1217.005. ADVISORY COMMITTEE ON UNIFORM PRIOR AUTHORIZATION FORMS. (a)...
Section 1217.006. Failure to Prescribe Standard Form - Sec. 1217.006. FAILURE TO PRESCRIBE STANDARD FORM. Nothing in this...
Section 1217.007. Construction With Other Law - Sec. 1217.007. CONSTRUCTION WITH OTHER LAW. Nothing in this chapter...
Chapter 1218 - Coverage for Elective Abortion; Prohibitions and Requirements
Section 1218.001. Definition - Sec. 1218.001. DEFINITION. In this chapter, "elective abortion" means an...
Section 1218.002. Applicability of Chapter - Sec. 1218.002. APPLICABILITY OF CHAPTER. (a) This chapter applies only...
Section 1218.003. Certain Coverage Not Affected - Sec. 1218.003. CERTAIN COVERAGE NOT AFFECTED. This chapter does not...
Section 1218.004. Coverage by Health Benefit Plan - Sec. 1218.004. COVERAGE BY HEALTH BENEFIT PLAN. A health benefit...
Section 1218.005. Calculation of Premium - Sec. 1218.005. CALCULATION OF PREMIUM. (a) A health benefit plan...
Section 1218.006. Notice by Issuer - Sec. 1218.006. NOTICE BY ISSUER. A health benefit plan issuer...
Chapter 1221 - Employer Contributions to Individual Health Insurance Policies
Section 1221.001. Rules; Employer Contributions - Sec. 1221.001. RULES; EMPLOYER CONTRIBUTIONS. The commissioner by rule, unless...
Chapter 1222 - Preauthorization for Medical or Health Care Service
Section 1222.0001. Definitions - Sec. 1222.0001. DEFINITIONS. In this chapter: (1) "Health benefit plan"...
Section 1222.0002. Applicability of Chapter - Sec. 1222.0002. APPLICABILITY OF CHAPTER. (a) This chapter applies only...
Section 1222.0003. Preauthorization Renewal Request - Sec. 1222.0003. PREAUTHORIZATION RENEWAL REQUEST. A health benefit plan issuer...
Section 1222.0004. Determination Required - Sec. 1222.0004. DETERMINATION REQUIRED. If a health benefit plan issuer...