Tex. Ins. Code § 1253.001 · Subchapter A. GENERAL PROVISIONS
LIMITATION OF SERVICES AND BENEFITS ON CONTRACT RENEGOTIATION.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) In this section, "health benefit contract" means a contract providing group health care coverage for employees that is delivered, issued for delivery, or renewed in this state by:
(1) an insurance company;
(2) a group hospital service corporation operating under Chapter 842; or
(3) a health maintenance organization operating under Chapter 843.
(b) Subject to Subsection (c), if an employer in this state agrees to renegotiate a health benefit contract, a change in the renegotiated contract may not operate solely to terminate eligibility with respect to any member of the group who, before the contract was renegotiated:
(1) was covered under the contract; and
(2) had a sickness or injury for which a service was being provided or a benefit was being paid under the contract.
(c) A renegotiated health benefit contract may include a different durational or dollar limit or a different deductible amount or amount of coinsurance applicable to a sickness or injury for which a service was being provided or benefit was being paid before the contract was renegotiated if that same or a similar limit or amount applies to a service provided or benefit paid for a similar sickness or a related condition or injury covered by the contract.
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.1253.htm
- Text hash
- sha256 b2d62fcabc4771e60d7d544b2f62fd0ce84d6f3ea9fb2652b460a357e8395a09
- 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
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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.