Tex. Ins. Code § 1251.112 · Subchapter C. GROUP ACCIDENT AND HEALTH INSURANCE: REQUIRED PROVISIONS
DEADLINE FOR CLAIM.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) A group accident and health insurance policy must provide that:
(1) in the case of a claim for a loss other than a claim for a loss of time for disability, written proof of the loss must be provided to the insurer not later than the 90th day after the date of the loss; and
(2) in the case of a claim for loss of time for disability:
(A) written proof of the loss must be provided to the insurer not later than the 90th day after the beginning of the period for which the insurer is liable; and
(B) subsequent written proofs of the continuance of the disability must be provided to the insurer at intervals as reasonably required by the insurer.
(b) Failure to provide written proof of a loss within the time prescribed by Subsection (a) does not invalidate or reduce a claim if:
(1) it was not reasonably possible to provide written proof of the loss within that time;
(2) written proof of the loss is provided as soon as reasonably possible; and
(3) unless the claimant does not have the legal capacity to provide proof of loss, proof of loss is provided not later than the first anniversary of the date the proof of loss is otherwise required.
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 7187937af13297f6f88743b56abd19f270c73b113833a82f5f91976d34457ef8
- 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.