State Codes and Statutes

Statutes > Texas > Insurance-code > Title-8-health-insurance-and-other-health-coverages > Chapter-1502-health-benefit-plans-for-children

INSURANCE CODE

TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES

SUBTITLE G. HEALTH COVERAGE AVAILABILITY

CHAPTER 1502. HEALTH BENEFIT PLANS FOR CHILDREN

SUBCHAPTER A. GENERAL PROVISIONS

Sec. 1502.001. APPLICABILITY OF CHAPTER. This chapter applies

only to the issuer of a health benefit plan that:

(1) provides benefits for medical or surgical expenses incurred

as a result of a health condition, accident, or sickness,

including:

(A) an individual, group, blanket, or franchise insurance policy

or insurance agreement, a group hospital service contract, or an

individual or group evidence of coverage that is offered by:

(i) an insurance company;

(ii) a group hospital service corporation operating under

Chapter 842;

(iii) a fraternal benefit society operating under Chapter 885;

(iv) a stipulated premium company operating under Chapter 884;

or

(v) a health maintenance organization operating under Chapter

843; and

(B) to the extent permitted by the Employee Retirement Income

Security Act of 1974 (29 U.S.C. Section 1001 et seq.), a health

benefit plan that is offered by:

(i) a multiple employer welfare arrangement as defined by

Section 3 of that Act or another analogous benefit arrangement;

or

(ii) an entity not authorized under this code or another

insurance law of this state that contracts directly for health

care services on a risk-sharing basis, including a capitation

basis; or

(2) is offered by an approved nonprofit health corporation that

holds a certificate of authority under Chapter 844.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,

2005.

Sec. 1502.0011. EXCEPTION. This chapter does not apply to a

health benefit plan provided under the state Medicaid program or

the state child health plan.

Added by Acts 2005, 79th Leg., Ch.

728, Sec. 11.061(a), eff. September 1, 2005.

Sec. 1502.002. RULES. The commissioner may adopt rules to

implement this chapter.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,

2005.

SUBCHAPTER B. CHILDREN'S HEALTH BENEFIT PLAN

Sec. 1502.051. CHILDREN'S HEALTH BENEFIT PLAN. A health benefit

plan issuer may offer a children's health benefit plan that

provides coverage only to children younger than 18 years of age.

The issuer may offer the plan only if the commissioner approves

the plan's structure and the benefits offered under the plan.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,

2005.

Sec. 1502.052. MANDATED BENEFIT PROVISIONS INAPPLICABLE. A

children's health benefit plan is not subject to any law that

requires coverage or the offer of coverage of a health care

service or benefit.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,

2005.

Sec. 1502.053. EXEMPTION FROM CERTAIN TAXES. (a) The issuer of

a children's health benefit plan approved under Section 1502.051

is not subject to the premium tax or the tax on revenues imposed

under Chapter 222 with respect to money received for coverage

provided under that plan.

(b) The issuer of a children's health benefit plan approved

under Section 1502.051 is not subject to the retaliatory tax

imposed under Chapter 281 with respect to money received for

coverage provided under that plan.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,

2005.

Amended by:

Acts 2005, 79th Leg., Ch.

728, Sec. 11.062(a), eff. September 1, 2005.

Acts 2007, 80th Leg., R.S., Ch.

932, Sec. 19, eff. June 15, 2007.

State Codes and Statutes

Statutes > Texas > Insurance-code > Title-8-health-insurance-and-other-health-coverages > Chapter-1502-health-benefit-plans-for-children

INSURANCE CODE

TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES

SUBTITLE G. HEALTH COVERAGE AVAILABILITY

CHAPTER 1502. HEALTH BENEFIT PLANS FOR CHILDREN

SUBCHAPTER A. GENERAL PROVISIONS

Sec. 1502.001. APPLICABILITY OF CHAPTER. This chapter applies

only to the issuer of a health benefit plan that:

(1) provides benefits for medical or surgical expenses incurred

as a result of a health condition, accident, or sickness,

including:

(A) an individual, group, blanket, or franchise insurance policy

or insurance agreement, a group hospital service contract, or an

individual or group evidence of coverage that is offered by:

(i) an insurance company;

(ii) a group hospital service corporation operating under

Chapter 842;

(iii) a fraternal benefit society operating under Chapter 885;

(iv) a stipulated premium company operating under Chapter 884;

or

(v) a health maintenance organization operating under Chapter

843; and

(B) to the extent permitted by the Employee Retirement Income

Security Act of 1974 (29 U.S.C. Section 1001 et seq.), a health

benefit plan that is offered by:

(i) a multiple employer welfare arrangement as defined by

Section 3 of that Act or another analogous benefit arrangement;

or

(ii) an entity not authorized under this code or another

insurance law of this state that contracts directly for health

care services on a risk-sharing basis, including a capitation

basis; or

(2) is offered by an approved nonprofit health corporation that

holds a certificate of authority under Chapter 844.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,

2005.

Sec. 1502.0011. EXCEPTION. This chapter does not apply to a

health benefit plan provided under the state Medicaid program or

the state child health plan.

Added by Acts 2005, 79th Leg., Ch.

728, Sec. 11.061(a), eff. September 1, 2005.

Sec. 1502.002. RULES. The commissioner may adopt rules to

implement this chapter.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,

2005.

SUBCHAPTER B. CHILDREN'S HEALTH BENEFIT PLAN

Sec. 1502.051. CHILDREN'S HEALTH BENEFIT PLAN. A health benefit

plan issuer may offer a children's health benefit plan that

provides coverage only to children younger than 18 years of age.

The issuer may offer the plan only if the commissioner approves

the plan's structure and the benefits offered under the plan.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,

2005.

Sec. 1502.052. MANDATED BENEFIT PROVISIONS INAPPLICABLE. A

children's health benefit plan is not subject to any law that

requires coverage or the offer of coverage of a health care

service or benefit.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,

2005.

Sec. 1502.053. EXEMPTION FROM CERTAIN TAXES. (a) The issuer of

a children's health benefit plan approved under Section 1502.051

is not subject to the premium tax or the tax on revenues imposed

under Chapter 222 with respect to money received for coverage

provided under that plan.

(b) The issuer of a children's health benefit plan approved

under Section 1502.051 is not subject to the retaliatory tax

imposed under Chapter 281 with respect to money received for

coverage provided under that plan.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,

2005.

Amended by:

Acts 2005, 79th Leg., Ch.

728, Sec. 11.062(a), eff. September 1, 2005.

Acts 2007, 80th Leg., R.S., Ch.

932, Sec. 19, eff. June 15, 2007.


State Codes and Statutes


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State Codes and Statutes

Statutes > Texas > Insurance-code > Title-8-health-insurance-and-other-health-coverages > Chapter-1502-health-benefit-plans-for-children

INSURANCE CODE

TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES

SUBTITLE G. HEALTH COVERAGE AVAILABILITY

CHAPTER 1502. HEALTH BENEFIT PLANS FOR CHILDREN

SUBCHAPTER A. GENERAL PROVISIONS

Sec. 1502.001. APPLICABILITY OF CHAPTER. This chapter applies

only to the issuer of a health benefit plan that:

(1) provides benefits for medical or surgical expenses incurred

as a result of a health condition, accident, or sickness,

including:

(A) an individual, group, blanket, or franchise insurance policy

or insurance agreement, a group hospital service contract, or an

individual or group evidence of coverage that is offered by:

(i) an insurance company;

(ii) a group hospital service corporation operating under

Chapter 842;

(iii) a fraternal benefit society operating under Chapter 885;

(iv) a stipulated premium company operating under Chapter 884;

or

(v) a health maintenance organization operating under Chapter

843; and

(B) to the extent permitted by the Employee Retirement Income

Security Act of 1974 (29 U.S.C. Section 1001 et seq.), a health

benefit plan that is offered by:

(i) a multiple employer welfare arrangement as defined by

Section 3 of that Act or another analogous benefit arrangement;

or

(ii) an entity not authorized under this code or another

insurance law of this state that contracts directly for health

care services on a risk-sharing basis, including a capitation

basis; or

(2) is offered by an approved nonprofit health corporation that

holds a certificate of authority under Chapter 844.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,

2005.

Sec. 1502.0011. EXCEPTION. This chapter does not apply to a

health benefit plan provided under the state Medicaid program or

the state child health plan.

Added by Acts 2005, 79th Leg., Ch.

728, Sec. 11.061(a), eff. September 1, 2005.

Sec. 1502.002. RULES. The commissioner may adopt rules to

implement this chapter.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,

2005.

SUBCHAPTER B. CHILDREN'S HEALTH BENEFIT PLAN

Sec. 1502.051. CHILDREN'S HEALTH BENEFIT PLAN. A health benefit

plan issuer may offer a children's health benefit plan that

provides coverage only to children younger than 18 years of age.

The issuer may offer the plan only if the commissioner approves

the plan's structure and the benefits offered under the plan.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,

2005.

Sec. 1502.052. MANDATED BENEFIT PROVISIONS INAPPLICABLE. A

children's health benefit plan is not subject to any law that

requires coverage or the offer of coverage of a health care

service or benefit.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,

2005.

Sec. 1502.053. EXEMPTION FROM CERTAIN TAXES. (a) The issuer of

a children's health benefit plan approved under Section 1502.051

is not subject to the premium tax or the tax on revenues imposed

under Chapter 222 with respect to money received for coverage

provided under that plan.

(b) The issuer of a children's health benefit plan approved

under Section 1502.051 is not subject to the retaliatory tax

imposed under Chapter 281 with respect to money received for

coverage provided under that plan.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,

2005.

Amended by:

Acts 2005, 79th Leg., Ch.

728, Sec. 11.062(a), eff. September 1, 2005.

Acts 2007, 80th Leg., R.S., Ch.

932, Sec. 19, eff. June 15, 2007.


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