Sec. 1352.005. NOTICE TO INSUREDS AND ENROLLEES. (a) A health benefit plan issuer subject to this chapter, other than a small employer health benefit plan issuer, must annually notify each insured or enrollee under the plan in writing about the coverages described by Section 1352.003.
(b) The commissioner shall prescribe by rule the specific contents and wording of the notice required under this section.
(c) The notice required under this section must include:
(1) a description of the benefits listed under Section 1352.003;
(2) a statement that the fact that an acquired brain injury does not result in hospitalization or receipt of a specific treatment or service described by Section 1352.003 for acute care treatment does not affect the right of the insured or enrollee to receive benefits described by Section 1352.003 commensurate with the condition of the insured or enrollee; and
(3) a statement of the fact that benefits described by Section 1352.003 may be provided in a facility listed in Section 1352.007.
Added by Acts 2007, 80th Leg., R.S., Ch. 877 (H.B. 1919), Sec. 5, eff. September 1, 2007.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 837 (S.B. 200), Sec. 3.39, eff. January 1, 2016.
Acts 2015, 84th Leg., R.S., Ch. 946 (S.B. 277), Sec. 2.36, eff. January 1, 2016.
Section: Previous 1352.001 1352.002 1352.003 1352.0035 1352.004 1352.005 1352.006 1352.007 NextLast modified: September 28, 2016