Tex. Ins. Code § 1501.354 · Subchapter H. MARKETING OF SMALL EMPLOYER HEALTH BENEFIT PLANS
REQUIRED DISCLOSURES.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) In connection with offering a small employer health benefit plan for sale, each small employer health benefit plan issuer and agent shall make a reasonable disclosure, as part of its solicitation and sales materials, of:
(1) the extent to which premium rates for a specific small employer are established or adjusted based on the actual or expected variation in:
(A) claim costs; or
(B) health status of the employer's employees and their dependents;
(2) provisions concerning the issuer's right to change premium rates and factors other than claims experience that affect changes in premium rates;
(3) provisions relating to renewability of policies and contracts; and
(4) any preexisting condition provisions.
(b) On request by a small employer, each small employer health benefit plan issuer shall disclose the benefits and premiums available under all small employer coverage for which the employer is qualified.
(c) A small employer health benefit plan issuer is not required to disclose information to a small employer that is proprietary or trade secret information under applicable law.
(d) Information provided under this section to a small employer must be provided in a manner that is:
(1) understandable by the average small employer; and
(2) sufficient to reasonably inform a small employer of its rights and obligations under a small employer health benefit plan.
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 5507a3b2028706f72d307743c7e4578b100272a03e75e8086de4b02118fc34be
- 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.