Sec. 1201.152. COVERAGE UNDER SIMPLIFIED APPLICATION FORM. (a) Notwithstanding Clause (b) of the provision required by Section 1201.208(a), an individual accident and health insurance policy must cover any loss that occurs after 12 months from a preexisting condition if the insurer uses a simplified application form that does not include a question concerning the applicant's health history or medical treatment history.
(b) This section applies regardless of whether the simplified application form includes a question regarding the applicant's health at the time of application.
(c) This section does not require an insurer to cover a loss from a condition that the policy specifically excludes from coverage.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Section: Previous 1201.104 1201.105 1201.106 1201.107 1201.108 1201.109 1201.151 1201.152 1201.153 1201.154 1201.201 1201.202 1201.203 1201.204 1201.205 NextLast modified: September 28, 2016