Texas Administrative Code
Title 28 - INSURANCE
Part 1 - TEXAS DEPARTMENT OF INSURANCE
Chapter 11 - HEALTH MAINTENANCE ORGANIZATIONS
Subchapter H - SCHEDULE OF CHARGES
Section 11.704 - Conversion Rates

Universal Citation: 28 TX Admin Code § 11.704

Current through Reg. 50, No. 13; March 28, 2025

(a) Charges for any individual's coverage may not be based on the individual's health status.

(b) The charge by an HMO for individual coverage that has been converted from group coverage may not exceed 200 percent of the rate that the individual would be charged for comparable group coverage.

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