Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle B - Group Health Coverage

Section 1251.053. Funds Established by Employers, Labor Unions, or Associations - Sec. 1251.053. FUNDS ESTABLISHED BY EMPLOYERS, LABOR UNIONS, OR ASSOCIATIONS....

Section 1251.054. Eligibility for Group Life Insurance - Sec. 1251.054. ELIGIBILITY FOR GROUP LIFE INSURANCE. A group accident...

Section 1251.055. Fund for Former Employees and Members - Sec. 1251.055. FUND FOR FORMER EMPLOYEES AND MEMBERS. (a) An...

Section 1251.056. Other Groups - Sec. 1251.056. OTHER GROUPS. (a) Under the requirements prescribed by...

Subchapter C. Group Accident and Health Insurance: Required Provisions

Section 1251.101. Required Provisions - Sec. 1251.101. REQUIRED PROVISIONS. (a) A group accident and health...

Section 1251.102. Payment of Premiums - Sec. 1251.102. PAYMENT OF PREMIUMS. A group accident and health...

Section 1251.103. Incontestability of Policy - Sec. 1251.103. INCONTESTABILITY OF POLICY. (a) A group accident and...

Section 1251.104. Entire Contract - Sec. 1251.104. ENTIRE CONTRACT. A group accident and health insurance...

Section 1251.105. Statement Made by Policyholder or Insured - Sec. 1251.105. STATEMENT MADE BY POLICYHOLDER OR INSURED. A group...

Section 1251.106. Distinction Based on Marital Status Prohibited - Sec. 1251.106. DISTINCTION BASED ON MARITAL STATUS PROHIBITED. A group...

Section 1251.107. Evidence of Insurability - Sec. 1251.107. EVIDENCE OF INSURABILITY. A group accident and health...

Section 1251.108. Exclusion or Limitation of Coverage for Preexisting Conditions - Sec. 1251.108. EXCLUSION OR LIMITATION OF COVERAGE FOR PREEXISTING CONDITIONS....

Section 1251.109. Adjustment of Premiums or Benefits if Age of Insured Is Misstated - Sec. 1251.109. ADJUSTMENT OF PREMIUMS OR BENEFITS IF AGE OF...

Section 1251.110. Deadline for Notice of Claim - Sec. 1251.110. DEADLINE FOR NOTICE OF CLAIM. (a) A group...

Section 1251.111. Claim Forms - Sec. 1251.111. CLAIM FORMS. (a) A group accident and health...

Section 1251.112. Deadline for Claim - Sec. 1251.112. DEADLINE FOR CLAIM. (a) A group accident and...

Section 1251.113. Prompt Payment of Benefits Required - Sec. 1251.113. PROMPT PAYMENT OF BENEFITS REQUIRED. A group accident...

Section 1251.114. Payment of Benefits - Sec. 1251.114. PAYMENT OF BENEFITS. (a) A group accident and...

Section 1251.115. Right to Conduct Physical Examination or Autopsy - Sec. 1251.115. RIGHT TO CONDUCT PHYSICAL EXAMINATION OR AUTOPSY. A...

Section 1251.116. Legal or Equitable Actions; Limitations - Sec. 1251.116. LEGAL OR EQUITABLE ACTIONS; LIMITATIONS. A group accident...

Section 1251.117. Continuation or Conversion of Coverage - Sec. 1251.117. CONTINUATION OR CONVERSION OF COVERAGE. (a) A group...

Subchapter D. Group Accident and Health Insurance: Coverage for Dependents

Section 1251.151. Coverage for Certain Grandchildren - Sec. 1251.151. COVERAGE FOR CERTAIN GRANDCHILDREN. (a) A group policy...

Section 1251.152. Optional Coverage for Spouses and Dependents - Sec. 1251.152. OPTIONAL COVERAGE FOR SPOUSES AND DEPENDENTS. (a) For...

Section 1251.153. Optional Continuation of Dependents' Benefits on Death of Insured - Sec. 1251.153. OPTIONAL CONTINUATION OF DEPENDENTS' BENEFITS ON DEATH OF...

Section 1251.154. Coverage for Adopted Children - Sec. 1251.154. COVERAGE FOR ADOPTED CHILDREN. A group policy or...

Subchapter E. Group Accident and Health Insurance: General Provisions

Section 1251.201. Certificate of Insurance; Notice of Separate Available Coverage - Sec. 1251.201. CERTIFICATE OF INSURANCE; NOTICE OF SEPARATE AVAILABLE COVERAGE....

Section 1251.202. Notice Regarding Certain Employer Health Benefit Plans - Sec. 1251.202. NOTICE REGARDING CERTAIN EMPLOYER HEALTH BENEFIT PLANS. (a)...

Subchapter F. Continuation or Conversion Privilege on Termination of Coverage Under Group Policy

Section 1251.251. Continuation of Group Coverage Required; Exception - Sec. 1251.251. CONTINUATION OF GROUP COVERAGE REQUIRED; EXCEPTION. (a) An...

Section 1251.252. Eligibility for Continuation of Group Coverage - Sec. 1251.252. ELIGIBILITY FOR CONTINUATION OF GROUP COVERAGE. (a) An...

Section 1251.253. Request for Continuation of Group Coverage - Sec. 1251.253. REQUEST FOR CONTINUATION OF GROUP COVERAGE. An employee,...

Section 1251.254. Payment of Contributions - Sec. 1251.254. PAYMENT OF CONTRIBUTIONS. Except as provided by this...

Section 1251.255. Termination of Continued Coverage - Sec. 1251.255. TERMINATION OF CONTINUED COVERAGE. (a) Group coverage continued...

Section 1251.256. Conversion of Group Policy - Sec. 1251.256. CONVERSION OF GROUP POLICY. (a) An insurer may...

Section 1251.257. Premium for Converted Policy - Sec. 1251.257. PREMIUM FOR CONVERTED POLICY. (a) An insurer shall...

Section 1251.258. Benefits Under Converted Policy - Sec. 1251.258. BENEFITS UNDER CONVERTED POLICY. The commissioner by rule...

Section 1251.259. Termination of Converted Policy - Sec. 1251.259. TERMINATION OF CONVERTED POLICY. Conversion coverage under this...

Section 1251.260. Notice of Continuation and Conversion Privileges - Sec. 1251.260. NOTICE OF CONTINUATION AND CONVERSION PRIVILEGES. (a) An...

Subchapter G. Continuation of Group Coverage for Certain Family Members and Dependents

Section 1251.301. Continuation of Group Coverage - Sec. 1251.301. CONTINUATION OF GROUP COVERAGE. A group policy or...

Section 1251.302. Eligibility for Continued Coverage - Sec. 1251.302. ELIGIBILITY FOR CONTINUED COVERAGE. A family member or...

Section 1251.303. Physical Examination Not Required - Sec. 1251.303. PHYSICAL EXAMINATION NOT REQUIRED. An individual who exercises...

Section 1251.304. Scope of Coverage - Sec. 1251.304. SCOPE OF COVERAGE. (a) An individual covered under...

Section 1251.305. Amount of Premium - Sec. 1251.305. AMOUNT OF PREMIUM. Except as provided by Section...

Section 1251.306. Payment of Premiums - Sec. 1251.306. PAYMENT OF PREMIUMS. (a) An individual covered under...

Section 1251.307. Notice of Continuation Option - Sec. 1251.307. NOTICE OF CONTINUATION OPTION. Except as provided by...

Section 1251.308. Notice of Severance of Family Relationship; Notice of Desire to Exercise Option - Sec. 1251.308. NOTICE OF SEVERANCE OF FAMILY RELATIONSHIP; NOTICE OF...

Section 1251.309. Continuation of Certain Coverages - Sec. 1251.309. CONTINUATION OF CERTAIN COVERAGES. (a) Any period of...

Section 1251.310. Termination of Continued Coverage - Sec. 1251.310. TERMINATION OF CONTINUED COVERAGE. The coverage of an...

Subchapter H. Blanket Accident and Health Insurance: Eligible Policyholders

Section 1251.351. Common Carrier or Motor Vehicle Rental or Leasing Company - Sec. 1251.351. COMMON CARRIER OR MOTOR VEHICLE RENTAL OR LEASING...

Section 1251.352. Employers - Sec. 1251.352. EMPLOYERS. (a) A blanket accident and health insurance...

Section 1251.353. Educational Institutions - Sec. 1251.353. EDUCATIONAL INSTITUTIONS. (a) A blanket accident and health...

Section 1251.354. Religious, Charitable, Recreational, Educational, or Civic Organization - Sec. 1251.354. RELIGIOUS, CHARITABLE, RECREATIONAL, EDUCATIONAL, OR CIVIC ORGANIZATION. (a)...

Section 1251.355. Sports Team or Camp - Sec. 1251.355. SPORTS TEAM OR CAMP. (a) A blanket accident...

Section 1251.356. Governmental or Volunteer Emergency Services Organization - Sec. 1251.356. GOVERNMENTAL OR VOLUNTEER EMERGENCY SERVICES ORGANIZATION. (a) A...

Section 1251.357. Newspaper or Other Publisher - Sec. 1251.357. NEWSPAPER OR OTHER PUBLISHER. (a) A blanket accident...

Section 1251.358. Association - Sec. 1251.358. ASSOCIATION. (a) A blanket accident and health insurance...

Section 1251.359. Coverage for Other Risks - Sec. 1251.359. COVERAGE FOR OTHER RISKS. (a) A blanket accident...

Subchapter I. Blanket Accident and Health Insurance: General Provisions

Section 1251.401. Individual Application and Certificate Not Required - Sec. 1251.401. INDIVIDUAL APPLICATION AND CERTIFICATE NOT REQUIRED. (a) An...

Section 1251.402. Liability of Policyholder Not Affected - Sec. 1251.402. LIABILITY OF POLICYHOLDER NOT AFFECTED. Subchapter H and...

Subchapter J. Regulation of Out-of-State Group Accident and Health Insurance Coverage

Section 1251.451. Applicability of Certain Laws to Out-of-State Group Accident and Health Insurance Coverage - Sec. 1251.451. APPLICABILITY OF CERTAIN LAWS TO OUT-OF-STATE GROUP ACCIDENT...

Chapter 1252 - Discontinuation and Replacement of Group and Group-Type Health Benefit Plan Coverage

Subchapter A. General Provisions

Section 1252.001. Definitions - Sec. 1252.001. DEFINITIONS. In this chapter: (1) "Carrier" means: (A)...

Section 1252.002. Applicability of Chapter - Sec. 1252.002. APPLICABILITY OF CHAPTER. (a) This chapter applies only...

Section 1252.003. Coverage Issued on Group-Type Basis - Sec. 1252.003. COVERAGE ISSUED ON GROUP-TYPE BASIS. (a) For purposes...

Subchapter B. Discontinuation of Coverage

Section 1252.101. Notice of Discontinuation of Coverage - Sec. 1252.101. NOTICE OF DISCONTINUATION OF COVERAGE. A notice of...

Section 1252.102. Extension of Benefits Provision; Exemption - Sec. 1252.102. EXTENSION OF BENEFITS PROVISION; EXEMPTION. (a) A health...

Section 1252.103. Indemnity or Benefits Payable for Disability - Sec. 1252.103. INDEMNITY OR BENEFITS PAYABLE FOR DISABILITY. A discontinuation...

Section 1252.104. Liability for Loss Under Automatically Discontinued Coverage - Sec. 1252.104. LIABILITY FOR LOSS UNDER AUTOMATICALLY DISCONTINUED COVERAGE. (a)...

Subchapter C. Replacement of Coverage

Section 1252.201. Total Disability Status - Sec. 1252.201. TOTAL DISABILITY STATUS. In this subchapter, a reference...

Section 1252.202. Effective Date of Coverage Under Replacement Plan - Sec. 1252.202. EFFECTIVE DATE OF COVERAGE UNDER REPLACEMENT PLAN. (a)...

Section 1252.203. Extension of Benefits for Total Disability - Sec. 1252.203. EXTENSION OF BENEFITS FOR TOTAL DISABILITY. (a) With...

Section 1252.204. Coverage for Preexisting Conditions - Sec. 1252.204. COVERAGE FOR PREEXISTING CONDITIONS. (a) A succeeding carrier's...

Section 1252.205. Waiting Period - Sec. 1252.205. WAITING PERIOD. If the benefits that were available...

Section 1252.206. Determination of Benefits Available Under Replaced Plan - Sec. 1252.206. DETERMINATION OF BENEFITS AVAILABLE UNDER REPLACED PLAN. (a)...

Section 1252.207. Liability of Previous Carrier - Sec. 1252.207. LIABILITY OF PREVIOUS CARRIER. A carrier of a...

Chapter 1253 - Cancellation of Group Coverage in Certain Circumstances

Subchapter A. General Provisions

Section 1253.001. Limitation of Services and Benefits on Contract Renegotiation - Sec. 1253.001. LIMITATION OF SERVICES AND BENEFITS ON CONTRACT RENEGOTIATION....

Subchapter B. Continuation of Group Accident and Health Insurance Policies During Labor Dispute

Section 1253.051. Applicability of Subchapter - Sec. 1253.051. APPLICABILITY OF SUBCHAPTER. This subchapter applies to a...

Section 1253.052. Continuation of Group Accident and Health Insurance During Labor Dispute Required for Certain Policies - Sec. 1253.052. CONTINUATION OF GROUP ACCIDENT AND HEALTH INSURANCE DURING...

Section 1253.053. Contributions if Policyholder Is Trustee - Sec. 1253.053. CONTRIBUTIONS IF POLICYHOLDER IS TRUSTEE. (a) An employee's...

Section 1253.054. Contributions if Policyholder Is Not Trustee - Sec. 1253.054. CONTRIBUTIONS IF POLICYHOLDER IS NOT TRUSTEE. (a) A...

Section 1253.055. Payment of Contribution and Premium - Sec. 1253.055. PAYMENT OF CONTRIBUTION AND PREMIUM. A policy may...

Section 1253.056. Past Due Premium - Sec. 1253.056. PAST DUE PREMIUM. (a) A policy may provide...

Section 1253.057. Individual Premium Rate Increase - Sec. 1253.057. INDIVIDUAL PREMIUM RATE INCREASE. (a) A policy may...

Section 1253.058. Premium Rate Change Not Limited - Sec. 1253.058. PREMIUM RATE CHANGE NOT LIMITED. (a) This subchapter...

Section 1253.059. Limitations on Continuation of Coverage - Sec. 1253.059. LIMITATIONS ON CONTINUATION OF COVERAGE. This subchapter does...

Section 1253.060. Other Provisions; Commissioner Approval Required - Sec. 1253.060. OTHER PROVISIONS; COMMISSIONER APPROVAL REQUIRED. A policy may...

Chapter 1254 - Notice of Rate Increase for Group Health and Accident Coverage

Section 1254.001. Notice of Rate Increase - Sec. 1254.001. NOTICE OF RATE INCREASE. (a) In this section,...

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Texas Statutes Title 8 - Health Insurance and Other Health Coverages Subtitle B - Group Health Coverage

Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle B - Group Health Coverage