Texas Administrative Code
Title 28 - INSURANCE
Part 1 - TEXAS DEPARTMENT OF INSURANCE
Chapter 3 - LIFE, ACCIDENT, AND HEALTH INSURANCE AND ANNUITIES
Subchapter F - RATE REVIEW FOR HEALTH BENEFIT PLANS
Section 3.501 - Purpose and Applicability
Universal Citation: 28 TX Admin Code § 3.501
Current through Reg. 50, No. 13; March 28, 2025
(a) The purpose of this subchapter is to implement Insurance Code Chapter 1698, concerning Rates for Certain Coverage, and to establish an effective rate review program in the individual and small group markets, consistent with 45 CFR § 154.301, concerning CMS's Determinations of Effective Rate Review Programs.
(b) This subchapter applies to a plan that is subject to Insurance Code Chapter 1698.
(c) This subchapter does not apply to:
(1) "short-term limited-duration insurance"
as defined in Insurance Code Chapter 1509, concerning Short-Term
Limited-Duration Insurance;
(2)
"grandfathered health plan coverage" as defined by
45 CFR §
147.140, concerning Preservation of Right to
Maintain Existing Coverage; or
(3)
individual limited scope plans, including but not limited to dental benefit
plans and vision benefit plans.
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