Texas Insurance Code Title 8, Chapter 1651 - Long-term Care Benefit Plans

SUBCHAPTER A GENERAL PROVISIONS

• Texas Section 1651.001 - Applicability Of Chapter
  (a) Notwithstanding Section 101.053(b)(5) and subject to Subsection (b), this chapter applies only to: (1) an individual long-term care benefit plan that is delivered or...
• Texas Section 1651.002 - Exemptions
  This chapter does not apply to: (1) a certificate that is delivered or issued for delivery in this state under a single employer or labor...
• Texas Section 1651.003 - Long-term Care Benefit Plan Defined
  (a) In this chapter, "long-term care benefit plan" means an insurance policy or group certificate, or rider to the policy or certificate, or evidence of...
• Texas Section 1651.004 - Rules
  (a) In addition to other rules required or authorized by this chapter, the department may adopt reasonable rules that are necessary and proper to carry...
• Texas Section 1651.005 - Construction Of Chapter
  This chapter may not be construed to enlarge the powers of an entity listed in Section 1651.001. Added by Acts 2003, 78th Leg., ch. 1274,...

SUBCHAPTER B BENEFIT PLAN STANDARDS

• Texas Section 1651.006 - Conflicts With Other Provisions
  This chapter prevails to the extent of any conflict with another provision of this code. Added by Acts 2003, 78th Leg., ch. 1274, Sec. 4,...
• Texas Section 1651.051 - Minimum Standards
  (a) The commissioner by rule shall establish: (1) specific standards for provisions of long-term care benefit plans; and (2) standards for full and fair disclosure...
• Texas Section 1651.052 - Preexisting Conditions
  (a) A long-term care benefit plan may not contain a provision that denies coverage for a claim for losses incurred more than six months after...
• Texas Section 1651.053 - Loss Ratio Standards
  (a) A long-term care benefit plan must provide a benefit plan holder with benefits that are reasonable in relation to the rates charged. (b) The...
• Texas Section 1651.054 - Notice Of Right To Refund
  (a) In this section, "applicant" means: (1) in the case of an individual long-term care benefit plan, the individual who seeks to contract for insurance...
• Texas Section 1651.055 - Rate Stabilization
  (a) The commissioner shall adopt rules to stabilize long-term care premium rates by: (1) ensuring that: (A) initial rates for long-term care benefit plan forms...

SUBCHAPTER C PARTNERSHIP FOR LONG-TERM CARE PROGRAM

• Texas Section 1651.056 - Review; Approval Or Disapproval Of Premium Rates
  (a) A long-term care premium rate may not be used until the rate has been filed with the department and approved by the commissioner. (b)...
• Texas Section 1651.101 - Definitions
  In this subchapter: (1) "Approved plan" means a long-term care benefit plan that is approved by the department under this subchapter. (2) "Dollar-for-dollar asset disregard"...
• Texas Section 1651.102 - Applicability
  Except to the extent of a conflict, Subchapters A and B apply to a plan issued in accordance with this subchapter. Added by Acts 2007,...
• Texas Section 1651.103 - Assistance Of Department
  The department shall assist the Health and Human Services Commission as necessary for the commission to perform its duties and functions with respect to the...
• Texas Section 1651.104 - Long-term Care Insurance Policy For Partnership For Long-term Care Program
  The commissioner, in consultation with the Health and Human Services Commission, shall adopt minimum standards for a long-term care benefit plan that may qualify as...
• Texas Section 1651.105 - Required Training
  (a) Each individual who sells a long-term care benefit plan under the partnership for long-term care program must complete training and demonstrate evidence of an...
• Texas Section 1651.106 - Effect Of Discontinuation Of Program On Policy
  If the partnership for long-term care program is discontinued, an individual who purchased an approved plan before the date the program is discontinued remains eligible...
• Texas Section 1651.107 - Rules
  The commissioner may adopt rules as necessary to implement this subchapter. Added by Acts 2007, 80th Leg., R.S., Ch. 795 (S.B. 22), Sec. 3, eff....

Last modified: September 28, 2016