Tex. Ins. Code § 1508.252 · Subchapter F. HEALTHY TEXAS SMALL EMPLOYER PREMIUM STABILIZATION FUND
OPERATION OF FUND; CLAIM ELIGIBILITY.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) A health benefit plan issuer is eligible to receive reimbursement in an amount that is equal to 80 percent of the dollar amount of claims paid between $5,000 and $75,000 in a calendar year for an enrollee in a qualifying health benefit plan.
(b) A health benefit plan issuer is eligible for reimbursement from the fund only for the calendar year in which claims are paid.
(c) Once the dollar amount of claims paid on behalf of a covered individual reaches or exceeds $75,000 in a given calendar year, a health benefit plan issuer may not receive reimbursement for any other claims paid on behalf of the individual in that calendar year.
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 f2a7011bccee90076592a2394898acd271ae045bd7e0c8023a8cf658bd9c6abc
- 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.