Texas Administrative Code
Title 28 - INSURANCE
Part 1 - TEXAS DEPARTMENT OF INSURANCE
Chapter 21 - TRADE PRACTICES
Subchapter P - MENTAL HEALTH PARITY
Division 1 - GENERAL PROVISIONS AND PARITY REQUIREMENTS
Section 21.2414 - Source-of-Injury Exclusions

(a) No denial of benefits. If a health benefit plan generally provides benefits for a type of injury, the plan may not deny benefits otherwise provided for treatment of the injury if the injury results from an act of domestic violence or a medical condition (including both physical and mental health conditions). This rule applies in the case of an injury resulting from a medical condition even if the condition is not diagnosed before the injury.

(b) Example. The requirements of subsection (a) of this section are illustrated by the example in figure 28 TAC § 21.2414(b).

Attached Graphic