Texas Administrative Code
Title 28 - INSURANCE
Part 1 - TEXAS DEPARTMENT OF INSURANCE
Chapter 21 - TRADE PRACTICES
Subchapter AA - CONSUMER CHOICE HEALTH BENEFIT PLANS
Division 1 - GENERAL PROVISIONS
Section 21.3502 - Definitions
Current through Reg. 50, No. 13; March 28, 2025
The following words and terms, when used in this subchapter, have the following meanings, unless the context clearly indicates otherwise:
(1) Basic health care services--Health care services that the commissioner determines an enrolled population might reasonably need to maintain good health.
(2) Commissioner--The commissioner of insurance.
(3) Consumer choice health benefit plan--A group or individual accident or sickness insurance policy or evidence of coverage that, in whole or in part, does not offer or provide state-mandated health benefits, but that provides creditable coverage as defined by Insurance Code § 1205.004(a) or § 1501.102(a).
(4) Consumer choice of benefits health insurance plan--A consumer choice health benefit plan.
(5) Department--The Texas Department of Insurance.
(6) HMO--a person defined in Insurance Code § 843.002(14).
(7) Health carrier--Any entity authorized under the Insurance Code or another insurance law of this state that provides health benefits in this state, including an insurance company, a group hospital service corporation under the Insurance Code Chapter 842, an HMO under the Insurance Code Chapter 843, and a stipulated premium company under the Insurance Code Chapter 884.
(8) Health insurer--Any entity authorized under the Insurance Code or another insurance law or regulation of this state that provides health insurance or health benefits in this state, including an insurance company, a group hospital service corporation under Chapter 842 of the Insurance Code, and a stipulated premium company under Chapter 884 of the Insurance Code.
(9) Standard health benefit plan--A consumer choice health benefit plan.
(10) State-mandated health benefits--