Texas Administrative Code
Title 28 - INSURANCE
Part 1 - TEXAS DEPARTMENT OF INSURANCE
Chapter 21 - TRADE PRACTICES
Subchapter M - MANDATORY BENEFIT NOTICE REQUIREMENTS
Section 21.2107 - Right to Medicare Supplement Coverage Notice

Universal Citation: 28 TX Admin Code § 21.2107

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

(a) At the time of an event described in § 3.3312(b) of this title (relating to Guaranteed Issue for Eligible Persons) that causes an individual to lose coverage or benefits due to the termination of a contract, agreement, policy, or plan, the entity, as defined in § 3.3312 of this title, must:

(1) notify the individual of his or her rights under § 3.3312(a), (c), (d), and (e) of this title, and the obligations of issuers of Medicare supplement policies under § 3.3312(a) of this title; and

(2) communicate this notice at the same time as the notification of termination.

(b) At the time of an event described in § 3.3312(b) of this title that causes an individual to cease enrollment under a contract, agreement, policy, or plan, the entity, as defined in § 3.3312 of this title, that offers the contract or agreement, regardless of the basis for the cessation of enrollment or the licensed third-party administrator of the plan, must:

(1) notify the individual of his or her rights under § 3.3312(a), (c), (d), and (e) of this title, and of the obligations of issuers of Medicare supplement policies under § 3.3312(a) of this title; and

(2) communicate this notice within 10 working days of the entity's receipt of notification of disenrollment.

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