Sec. 1303.252. CONTENTS OF EVIDENCE OF COVERAGE. (a) Evidence of coverage under a residential service contract must contain a clear and complete statement, if the evidence is a contract, or a reasonably complete facsimile, if the evidence is a certificate, of:
(1) the services or benefits to which the contract holder is entitled;
(2) any limitation on the services, kinds of services, or benefits to be provided, including a deductible or co-payment provision;
(3) where and in what manner information is available on how to obtain services;
(4) the period during which the coverage is in effect;
(5) the residential service company's agreement to perform services on the contract holder's telephone request to the company, without a requirement that a claim form or application be filed before the services are performed;
(6) the company's agreement that, under normal circumstances, the company will initiate the performance of services within 48 hours after the contract holder requests the services; and
(7) any service fee to be charged for a service call.
(b) Evidence of coverage may not contain a provision that encourages misrepresentation or that is unjust, unfair, inequitable, misleading, deceptive, or false.
Added by Acts 2001, 77th Leg., ch. 1421, Sec. 3, eff. June 1, 2003.
Section: Previous 1303.151 1303.152 1303.153 1303.154 1303.201 1303.202 1303.251 1303.252 1303.253 1303.254 1303.255 1303.301 1303.302 1303.303 1303.304 NextLast modified: September 28, 2016