Tex. Ins. Code § 1271.307 · Subchapter G. CONTINUATION OF COVERAGE, CONVERSION CONTRACTS, AND RENEWAL
RENEWABILITY OF COVERAGE: INDIVIDUAL HEALTH CARE PLANS AND CONVERSION CONTRACTS.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) In this section, "individual health care plan" has the meaning assigned by Section 1271.004.
(b) An individual health care plan or a conversion contract that provides health care services to an enrollee is renewable at the option of the enrollee. A health maintenance organization may decline to renew an individual health care plan or conversion contract only:
(1) for failure to pay premiums or contributions in accordance with the terms of the plan or because the issuer of the plan has not received timely premium payments;
(2) for fraud or intentional misrepresentation;
(3) because the health maintenance organization ceases to offer coverage in the individual market in accordance with rules established by the commissioner;
(4) because the enrollee no longer resides or works in the area in which the health maintenance organization is authorized to provide coverage, if coverage under the plan is terminated uniformly for this reason without regard to any factor related to the health status of a covered enrollee; or
(5) in accordance with applicable federal law, including regulations.
(c) The commissioner may adopt rules necessary to implement this section and to meet the minimum requirements of federal law, including regulations.
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.1271.htm
- Text hash
- sha256 c1e865c48767bf809f219bc920d91a8b04397a6bcb3bd2e00477b26194a0891f
- 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
This section cites
Provisions in this library that the text above cites, as it prints each citation. A range cited as “ss. 61.13-61.16” links its first and last provisions.
Cited by 1 provision
Provisions in this library whose text cites Tex. Ins. Code § 1271.307. Each shows the citation as that text prints it.
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.