Texas Administrative Code
Title 28 - INSURANCE
Part 1 - TEXAS DEPARTMENT OF INSURANCE
Chapter 21 - TRADE PRACTICES
Subchapter L - MEDICAL CHILD SUPPORT, UNFAIR PRACTICES
Section 21.2002 - Prohibition Against Denial of Enrollment

Universal Citation: 28 TX Admin Code § 21.2002

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

(a) An insurer shall not deny enrollment of a child who is the subject of a medical support order under the health coverage of the child's parent on the ground that the child:

(1) has a preexisting condition;

(2) was born out of wedlock;

(3) is not claimed as a dependent on the parent's federal income tax return;

(4) does not reside with the parent or in the insurer's service area; or

(5) is or has been an applicant for or recipient of medical assistance.

(b) This section does not prohibit an insurer from enforcing otherwise applicable policy provisions, such as waiting period limitations or other applicable limitations on preexisting conditions so long as such provisions are in accordance with federal and state law.

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