Tex. Ins. Code § 1652.051 · Subchapter B. BENEFITS
MINIMUM STANDARDS.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) The commissioner shall adopt reasonable rules to establish specific standards for provisions in Medicare supplement benefit plans and standards for facilitating comparisons of different Medicare supplement benefit plans. The standards are in addition to and must be in accordance with:
(1) applicable laws of this state, including Chapters 842 and 1201;
(2) applicable federal law, rules, regulations, and standards; and
(3) any model rules and regulations required by federal law, including Section 1882, Social Security Act (42 U.S.C. Section 1395ss).
(b) The standards may include provisions relating to:
(1) terms of renewability;
(2) initial and subsequent conditions of eligibility;
(3) nonduplication of coverage;
(4) probationary periods;
(5) benefit limitations, exceptions, and reductions;
(6) elimination periods;
(7) requirements for replacement;
(8) recurrent conditions;
(9) definitions of terms; and
(10) exclusions required by state or federal law.
(c) The commissioner may adopt reasonable rules that specifically prohibit benefit plan provisions that:
(1) are not otherwise specifically authorized by statute; and
(2) the commissioner determines are unjust, unfair, or unfairly discriminatory to a person who is covered or proposed for coverage.
(d) Rules adopted under this section must include requirements that are at least equal to those required by federal law, rules, regulations, and standards, including Section 1882, Social Security Act (42 U.S.C. Section 1395ss).
Notes and commentary — not statutory text
History
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 4, 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.1652.htm
- Text hash
- sha256 4a43b0fb3d99d9f8327dbe498dd663f07a9a82ca0dd03dd5d0489093c5d6e1a4
- 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
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