Tex. Ins. Code § 1251.108 · Subchapter C. GROUP ACCIDENT AND HEALTH INSURANCE: REQUIRED PROVISIONS
EXCLUSION OR LIMITATION OF COVERAGE FOR PREEXISTING CONDITIONS.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) A group accident and health insurance policy must specify the additional exclusions or limitations, if any, applicable under the policy with respect to a disease or physical condition of an insured, not otherwise excluded from the insured's coverage by name or specific description effective on the date of the insured's loss, that existed before the effective date of the insured's coverage under the policy.
(b) An exclusion or limitation described by Subsection (a) may apply only to a disease or physical condition for which the insured received medical advice or treatment during the 12 months before the effective date of the insured's coverage.
(c) An exclusion or limitation described by Subsection (a) may not apply to a loss incurred or disability beginning after the earlier of:
(1) the end of 12 consecutive months, beginning on or after the effective date of the insured's coverage, during which the insured has not received medical advice or treatment in connection with the disease or physical condition; or
(2) the second anniversary of the effective date of the insured's coverage.
(d) This section does not apply to:
(1) a credit accident and health insurance policy; or
(2) a group accident and health insurance policy subject to Chapter 1501.
Notes and commentary — not statutory text
History
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1251.htm
- Text hash
- sha256 6faad919c6063340e2b99f06b96536885fdc9e2490ffb99155733ccfa3af47a0
- Composed by
- compose_tx.py 2026-10-05: the Legislative Council's chapter files read in document order; verify_tx.py's independent reading (lxml DOM walk) agrees character for character
Procedural information only. Not legal advice and not a substitute for the advice of an attorney. Confirm the current text with the official publisher before relying on it.