Texas Insurance Code Title 8, Chapter 1252 - Discontinuation And Replacement Of Group And Group-type Health Benefit Plan Coverage

SUBCHAPTER A GENERAL PROVISIONS

• Texas Section 1252.001 - Definitions
  In this chapter: (1) "Carrier" means: (A) an insurer; or (B) a group hospital service corporation operating under Chapter 842. (2) "Health benefit plan" means:...
• Texas Section 1252.002 - Applicability Of Chapter
  (a) This chapter applies only to a health benefit plan that: (1) provides coverage on a group or group-type basis to an individual eligible for...

SUBCHAPTER B DISCONTINUATION OF COVERAGE

• Texas Section 1252.003 - Coverage Issued On Group-type Basis
  (a) For purposes of this chapter, health benefit plan coverage is provided on a group-type basis if: (1) the plan provides coverage under an insurance...
• Texas Section 1252.101 - Notice Of Discontinuation Of Coverage
  A notice of discontinuation of a health benefit plan must include a request to the group policyholder or other entity responsible for making payments or...
• Texas Section 1252.102 - Extension Of Benefits Provision; Exemption
  (a) A health benefit plan must contain, subject to this section and Section 1252.103, a reasonable provision providing for an extension of benefits for a...
• Texas Section 1252.103 - Indemnity Or Benefits Payable For Disability
  A discontinuation of health benefit plan coverage occurring during a period of disability does not affect: (1) any benefits payable under the plan for loss...

SUBCHAPTER C REPLACEMENT OF COVERAGE

• Texas Section 1252.104 - Liability For Loss Under Automatically Discontinued Coverage
  (a) If a health benefit plan provides for automatic discontinuation of coverage when a premium or subscription charge due under the plan is not paid...
• Texas Section 1252.201 - Total Disability Status
  In this subchapter, a reference to the total disability status of an individual means the individual's disability status immediately preceding the date on which the...
• Texas Section 1252.202 - Effective Date Of Coverage Under Replacement Plan
  (a) An individual who was covered by a previous carrier's health benefit plan on the date on which that plan was discontinued shall be provided...
• Texas Section 1252.203 - Extension Of Benefits For Total Disability
  (a) With respect to providing a type of coverage for which Section 1252.102 requires an extension of benefits for an individual with a total disability,...
• Texas Section 1252.204 - Coverage For Preexisting Conditions
  (a) A succeeding carrier's health benefit plan that limits coverage in accordance with a preexisting conditions provision, other than a waiting period, must provide, during...
• Texas Section 1252.205 - Waiting Period
  If the benefits that were available under a previous carrier's health benefit plan are similar to the benefits available under a succeeding carrier's health benefit...
• Texas Section 1252.206 - Determination Of Benefits Available Under Replaced Plan
  (a) If a succeeding carrier requires a determination of the benefits available under the previous carrier's health benefit plan, the previous carrier shall provide at...
• Texas Section 1252.207 - Liability Of Previous Carrier
  A carrier of a health benefit plan that is being discontinued is liable only for any accrued liabilities regarding the plan and for any extension...

Last modified: September 28, 2016