Tex. Ins. Code § 1508.202 · Subchapter E. RATING OF QUALIFIED HEALTH BENEFIT PLANS
PREMIUM RATE DEVELOPMENT AND CALCULATION.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) Rating factors used to underwrite qualifying health benefit plans must produce premium rates for identical groups that:
(1) differ only by the amounts attributable to health benefit plan design; and
(2) do not reflect differences because of the nature of the groups assumed to select a particular health benefit plan.
(b) A health benefit plan issuer shall treat each qualifying health benefit plan that is issued or renewed in a calendar month as having the same rating period.
(c) A health benefit plan issuer may use only age and gender as case characteristics, as defined by Section 1501.201(2), in setting premium rates for a qualifying health benefit plan.
(d) The commissioner by rule may establish additional rating criteria and requirements for qualifying health benefit plans if the commissioner determines that the criteria and requirements are necessary to achieve the purposes of this chapter.
Notes and commentary — not statutory text
History
Added by Acts 2009, 81st Leg., R.S., Ch. 721 (S.B. 78), Sec. 2.01, eff. September 1, 2009.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1508.htm
- Text hash
- sha256 acaeb33a9f805ec2426325377b39ed2a896a8e94eb683c5bec8ca48e5640799d
- 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.