Texas Administrative Code
Title 28 - INSURANCE
Part 1 - TEXAS DEPARTMENT OF INSURANCE
Chapter 21 - TRADE PRACTICES
Subchapter SS - CONTINUATION AND CONVERSION PROVISIONS
Division 1 - GENERAL PROVISIONS
Section 21.5302 - Definitions

Universal Citation: 28 TX Admin Code § 21.5302

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) COBRA--Title X of the Consolidated Omnibus Budget Reconciliation Act of 1985, as amended (29 U.S.C. Part 6).

(2) COBRA continuation coverage--Coverage that satisfies an applicable COBRA continuation provision.

(3) Carrier--

(A) An insurer or a group hospital service corporation subject to Insurance Code Chapter 842 that issues policies providing hospital, surgical, or major medical expense insurance coverage or any combination of those coverages on an expense-incurred basis; and

(B) An HMO subject to Insurance Code Chapter 1271.

(4) Department--Texas Department of Insurance.

(5) HMO--A health maintenance organization as defined in Insurance Code § 843.002(14).

(6) Insurer--A life, health, and accident insurance company; health and accident insurance company; health insurance company; or other company operating under Insurance Code Chapter 841, 842, 884, 885, 982, or 1501 that is authorized to issue, deliver, or issue for delivery health insurance policies in this state.

(7) State continuation coverage--Coverage that satisfies an applicable state continuation requirement under Insurance Code Chapter 1251 or 1271.

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