Tex. Ins. Code § 1501.104 · Subchapter C. PROVISION OF COVERAGE
AFFILIATION PERIOD.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) In this section, "affiliation period" means a period that, under a small or large employer health benefit plan offered by a health maintenance organization, must expire before the coverage becomes effective.
(b) A health maintenance organization may impose an affiliation period if the period is applied uniformly without regard to any health status related factor. The affiliation period may not exceed:
(1) two months for an enrollee, other than a late enrollee; or
(2) 90 days for a late enrollee.
(c) An affiliation period under a small or large employer health benefit plan must run concurrently with any applicable waiting period under the plan. A health maintenance organization must credit an affiliation period against any preexisting condition provision period.
(d) During an affiliation period, a health maintenance organization:
(1) is not required to provide health care services or benefits to the participant or beneficiary; and
(2) may not charge a premium to the participant or beneficiary.
(e) A health maintenance organization may use an alternative method approved by the commissioner to address adverse selection.
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.1501.htm
- Text hash
- sha256 9b13dc73b14abf56da62d0f9f248be0f3047c7cea98901acdcd412192f0e9fd7
- 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
Cited by 1 provision
Provisions in this library whose text cites Tex. Ins. Code § 1501.104. Each shows the citation as that text prints it.
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