Tex. Ins. Code § 1501.213 · Subchapter E. UNDERWRITING AND RATING OF SMALL EMPLOYER HEALTH BENEFIT PLANS
PREMIUM RATES: HEALTH MAINTENANCE ORGANIZATION HEALTH BENEFIT PLAN.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) The premium rates for a state-approved health benefit plan offered by a health maintenance organization under Section 1501.255 must be established in accordance with formulas or schedules of charges filed with the department.
(b) A health maintenance organization that participates in a purchasing cooperative that provides employees of small employers a choice of health benefit plans may use rating methods in accordance with this subchapter that are used by other small employer health benefit plan issuers participating in the same cooperative, including rating by age and gender, if the health maintenance organization has established:
(1) a separate class of business, as provided by Section 1501.202; and
(2) a separate line of business, as provided under Section 1501.255(b).
Notes and commentary — not statutory text
History
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Amended by:
Acts 2005, 79th Leg., Ch. 728 (H.B. 2018), Sec. 11.055(a), eff. September 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 2be8966b1998ffe7cc7583d4a969d9db0a417a7d0f291d89559c2cfb45b72108
- 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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