Texas Administrative Code
Title 28 - INSURANCE
Part 1 - TEXAS DEPARTMENT OF INSURANCE
Chapter 21 - TRADE PRACTICES
Subchapter S - ASSOCIATION PLANS
Section 21.2706 - Coverage and Issuance Requirements to Bona Fide Associations

Universal Citation: 28 TX Admin Code § 21.2706

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

(a) A health carrier that issues a health benefit plan to a bona fide association may refuse to provide coverage to all members, and dependents of members if dependent coverage is offered, of a bona fide association in accordance with the health carrier's underwriting standards and criteria. However, on issuance to a bona fide association, each carrier shall provide coverage to each member without regard to the member's health status-related factors.

(b) A health carrier that issues a health benefit plan to members of a bona fide association shall accept or reject all members who apply for coverage and may exclude only those members who have not applied for coverage.

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