reglab/housing_qa huggingface dataset:
TX Ins Code § 1154.101 (2021)
2021 Texas Statutes|Insurance Code|Title 7 - Life Insurance and Annuities|Subtitle C - Specialized Coverages|Chapter 1154 - Funding Agreements, Guaranteed Investment Contracts, and Synthetic Guaranteed Investment Contracts|Subchapter C. Guaranteed Investment Contracts|Section 1154.101. Establishment of Guaranteed Investment Contracts

Sec. 1154.101.  ESTABLISHMENT OF GUARANTEED INVESTMENT CONTRACTS.  A life insurer may issue a guaranteed investment contract to provide a benefit in a fixed amount or a variable amount or a fixed amount and a variable amount.|Added by Acts 2015, 84th Leg., R.S., Ch. 1187 (S.B. 1196), Sec. 2, eff. September 1, 2015.|
TX Ins Code § 1201.001 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle A - Health Coverage in General|Chapter 1201 - Accident and Health Insurance|Subchapter A. General Provisions|Section 1201.001. Definitions

Sec. 1201.001.  DEFINITIONS.  In this chapter:(1)  "Accident and health insurance policy" includes any policy or contract that provides insurance against loss resulting from:(A)  accidental bodily injury;(B)  accidental death;  or(C)  sickness.(2)  "Policy" means the entire contract between an insurer and an insured and includes riders, endorsements, and the application, if attached.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1201.002 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle A - Health Coverage in General|Chapter 1201 - Accident and Health Insurance|Subchapter A. General Provisions|Section 1201.002. Purpose

Sec. 1201.002.  PURPOSE.  The purpose of this chapter is to:(1)  provide for reasonable standardization, readability, and simplification of terms and coverages in individual accident and health insurance policies;(2)  promote public understanding of coverages;(3)  eliminate provisions in individual accident and health insurance policies that may be unjust, unfair, misleading, or unreasonably confusing in connection with:(A)  the purchase of coverage;  or(B)  the settlement of claims;  and(4)  provide for full and fair disclosure in sales of accident and health coverage.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1201.003 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle A - Health Coverage in General|Chapter 1201 - Accident and Health Insurance|Subchapter A. General Provisions|Section 1201.003. Applicability of Chapter

Sec. 1201.003.  APPLICABILITY OF CHAPTER.  (a)  This chapter applies only to an accident and health insurance policy delivered or issued for delivery in this state.(b)  Except as otherwise provided by this chapter, this chapter applies only to an individual accident and health insurance policy delivered or issued for delivery by:(1)  a life, health, and accident insurance company;(2)  a mutual insurance company, including:(A)  a mutual life insurance company;  and(B)  a mutual assessment life insurance company;(3)  a local mutual aid association;(4)  a mutual or natural premium life or casualty insurance company;(5)  a general casualty company;(6)  a Lloyd's plan;(7)  a reciprocal or interinsurance exchange;(8)  a nonprofit hospital, medical, or dental service corporation, including a corporation operating under Chapter 842;  or(9)  another insurer required by law to be authorized by the department.(c)  This chapter applies to an accident and health insurance policy issued by a stipulated premium company subject to Chapter 884.(d)  This chapter does not apply to:(1)  any society, company, or other insurer whose activities are exempt by statute from the control of the department and that is entitled by statute to a certificate from the department that shows the entity's exempt status;(2)  a credit accident and health insurance policy issued under Chapter 1153;(3)  a workers' compensation insurance policy;(4)  a liability insurance policy, with or without supplementary expense coverage;(5)  a reinsurance policy or contract;(6)  a blanket or group insurance policy, except as otherwise provided by this chapter;  or(7)  a life insurance endowment or annuity contract or a contract supplemental to a life insurance endowment or annuity contract if the contract or supplemental contract contains only provisions relating to accident and health insurance that:(A)  provide additional benefits in case of accidental death, accidental dismemberment, or accidental loss of sight;  or(B)  operate to:(i)  safeguard the contract or supplemental contract against lapse;  or(ii)  give a special surrender value, a special benefit, or an annuity if the insured or annuitant becomes totally and permanently disabled, as defined by the contract or supplemental contract.(e)  Subchapters C and D do not apply to a conversion policy issued under a contractual conversion privilege under a group accident and health insurance policy.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1201.004 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle A - Health Coverage in General|Chapter 1201 - Accident and Health Insurance|Subchapter A. General Provisions|Section 1201.004. Construction of Chapter

Sec. 1201.004.  CONSTRUCTION OF CHAPTER.  This chapter does not enlarge the powers of an entity listed in Section 1201.003.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1201.005 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle A - Health Coverage in General|Chapter 1201 - Accident and Health Insurance|Subchapter A. General Provisions|Section 1201.005. References to Chapter

Sec. 1201.005.  REFERENCES TO CHAPTER.  In this chapter, a reference to this chapter includes a reference to:(1)  Section 1202.052;(2)  Section 1271.005(a), to the extent that the subsection relates to the applicability of Section 1201.105, and Sections 1271.005(d) and (e);(3)  Chapter 1351;(4)  Subchapters C and E, Chapter 1355;(5)  Chapter 1356;(6)  Chapter 1365;(7)  Subchapter A, Chapter 1367;  and(8)  Subchapters A, B, and G, Chapter 1451.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1201.006 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle A - Health Coverage in General|Chapter 1201 - Accident and Health Insurance|Subchapter A. General Provisions|Section 1201.006. Rulemaking Authority

Sec. 1201.006.  RULEMAKING AUTHORITY.  The commissioner may adopt reasonable rules as necessary to implement the purposes and provisions of this chapter.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1201.007 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle A - Health Coverage in General|Chapter 1201 - Accident and Health Insurance|Subchapter A. General Provisions|Section 1201.007. Notice and Hearing

Sec. 1201.007.  NOTICE AND HEARING.  The commissioner may adopt a general rule or order relating to a matter covered by this chapter only after a hearing held after the 10th day following the date the department by mail notifies each insurer to which this chapter applies.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1201.008 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle A - Health Coverage in General|Chapter 1201 - Accident and Health Insurance|Subchapter A. General Provisions|Section 1201.008. Judicial Review

Sec. 1201.008.  JUDICIAL REVIEW.  An insurer that is dissatisfied with an order, act, rule, administrative ruling, or decision of the commissioner under this chapter may, after failing to get relief from the commissioner, file a petition seeking judicial review of the order, act, rule, ruling, or decision in accordance with Subchapter D, Chapter 36.  The action has precedence over all other causes on the docket of a different nature.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1201.009 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle A - Health Coverage in General|Chapter 1201 - Accident and Health Insurance|Subchapter A. General Provisions|Section 1201.009. Nonconforming Policy

Sec. 1201.009.  NONCONFORMING POLICY.  (a)  This chapter governs the rights, duties, and obligations of the insurer, the insured, and the beneficiary of an accident and health insurance policy regardless of a provision in the policy that conflicts with this chapter.(b)  An accident and health insurance policy that violates this chapter is a valid policy, but the policy shall be construed in a manner to make the policy consistent with this chapter.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1201.010 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle A - Health Coverage in General|Chapter 1201 - Accident and Health Insurance|Subchapter A. General Provisions|Section 1201.010. Third-Party Ownership of Policy

Sec. 1201.010.  THIRD-PARTY OWNERSHIP OF POLICY.  The use of "insured" in this chapter does not prevent a person with an insurable interest, other than the insured, from:(1)  applying for and owning an individual accident and health insurance policy covering the insured;  or(2)  being entitled to an indemnity, right, or benefit provided for in an individual accident and health insurance policy covering the insured.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1201.011 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle A - Health Coverage in General|Chapter 1201 - Accident and Health Insurance|Subchapter A. General Provisions|Section 1201.011. Coverage for Premium Period With Limitations by Age or Date; Misstatement of Age of Insured

Sec. 1201.011.  COVERAGE FOR PREMIUM PERIOD WITH LIMITATIONS BY AGE OR DATE;  MISSTATEMENT OF AGE OF INSURED.  (a)  Regardless of a provision in an individual accident and health insurance policy that specifies a date, by age limitation or otherwise, after which coverage under the policy is not effective, coverage continues in force, subject to any right of cancellation, until the end of the period for which the insurer accepts a premium if:(1)  the insurer accepts the premium after the specified date;  or(2)  the specified date falls before the end of the period for which the insurer accepts the premium.(b)  Notwithstanding Subsection (a), if the age of the insured is misstated and, because of the insured's correct age, coverage of the insured would not have become effective or would have terminated before the insurer's acceptance of a premium, the liability of the insurer is limited to the refund, on request, of the premiums paid for the period not covered by the policy.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1201.012 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle A - Health Coverage in General|Chapter 1201 - Accident and Health Insurance|Subchapter A. General Provisions|Section 1201.012. Defense of Claim

Sec. 1201.012.  DEFENSE OF CLAIM.  The following actions by an insurer do not operate as a waiver of the insurer's rights in defense of a claim that arises under an individual accident and health insurance policy:(1)  acknowledgment of the receipt of notice given under the policy;(2)  provision of a form for filing a proof of loss;(3)  acceptance of a proof of loss;  or(4)  investigation of a claim under the policy.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1201.013 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle A - Health Coverage in General|Chapter 1201 - Accident and Health Insurance|Subchapter A. General Provisions|Section 1201.013. Programs Promoting Disease Prevention, Wellness, and Health

Sec. 1201.013.  PROGRAMS PROMOTING DISEASE PREVENTION, WELLNESS, AND HEALTH.  (a)  An insurer issuing an accident and health insurance policy may establish premium discounts, rebates, or a reduction in otherwise applicable copayments, coinsurance, or deductibles, or any combination of these incentives, for an insured who participates in programs promoting disease prevention, wellness, and health.(b)  A discount, rebate, or reduction established under this section does not violate Section 541.056(a).|Added by Acts 2007, 80th Leg., R.S., Ch. 112 (H.B. 2252), Sec. 2, eff. May 17, 2007.|
TX Ins Code § 1201.051 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle A - Health Coverage in General|Chapter 1201 - Accident and Health Insurance|Subchapter B. Policy Terms|Section 1201.051. Entire Consideration

Sec. 1201.051.  ENTIRE CONSIDERATION.  An individual accident and health insurance policy must state the entire monetary and other consideration for the policy in the policy or in the application, if the application is made a part of the policy.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1201.052 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle A - Health Coverage in General|Chapter 1201 - Accident and Health Insurance|Subchapter B. Policy Terms|Section 1201.052. Time of Effectiveness and Termination

Sec. 1201.052.  TIME OF EFFECTIVENESS AND TERMINATION.  An individual accident and health insurance policy must state the time the insurance takes effect and the time the insurance terminates.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1201.053 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle A - Health Coverage in General|Chapter 1201 - Accident and Health Insurance|Subchapter B. Policy Terms|Section 1201.053. Persons Insured

Sec. 1201.053.  PERSONS INSURED.  (a)  Except as provided by this section, an individual accident and health insurance policy may not insure more than one individual.(b)  On the application of an adult member of a family, an individual accident and health insurance policy may, at the time of original issuance or by subsequent amendment, insure two or more eligible members of the adult's family, including a spouse, unmarried children younger than 25 years of age, including a grandchild of the adult as described by Section 1201.062(a)(1), a child the adult is required to insure under a medical support order or dental support order, if the policy provides dental coverage, issued under Chapter 154, Family Code, or enforceable by a court in this state, and any other individual dependent on the adult.(c)  The adult who applies for the individual accident and health insurance policy is considered the policyholder.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.Amended by: Acts 2015, 84th Leg., R.S., Ch. 1150 (S.B. 550), Sec. 56, eff. September 1, 2018.|
TX Ins Code § 1201.054 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle A - Health Coverage in General|Chapter 1201 - Accident and Health Insurance|Subchapter B. Policy Terms|Section 1201.054. Appearance of Text

Sec. 1201.054.  APPEARANCE OF TEXT.  (a)  In this section, "text" includes all printed matter of an individual accident and health insurance policy except:(1)  the name and address of the insurer;(2)  the name or title of the policy;(3)  the brief description, if any;  and(4)  captions and subcaptions.(b)  An individual accident and health insurance policy must have:(1)  a style, arrangement, or overall appearance that does not give undue prominence to any portion of the text;  and(2)  every printed portion of its text and of any endorsements or attached papers printed plainly in a lightfaced type:(A)  of a style in general use;  and(B)  in a uniform size not less than 10-point with a lowercase unspaced alphabet length not less than 120-point.(c)  Subsection (b)(2) does not apply to a copy of an application or identification card.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1201.055 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle A - Health Coverage in General|Chapter 1201 - Accident and Health Insurance|Subchapter B. Policy Terms|Section 1201.055. Exceptions and Reductions of Indemnity

Sec. 1201.055.  EXCEPTIONS AND REDUCTIONS OF INDEMNITY.  (a)  An individual accident and health insurance policy must state each exception to or reduction of indemnity for the policy.(b)  Except as provided by Subchapter E, each exception to or reduction of indemnity for the policy must be printed, at the insurer's option:(1)  with the benefit provision to which the exception or reduction applies;  or(2)  under an appropriate caption such as:(A)  "Exceptions";  or(B)  "Exceptions and Reductions."(c)  Notwithstanding Subsection (b), if an exception or reduction specifically applies only to a particular benefit of an individual accident and health insurance policy, the statement of the exception or reduction must be included with the benefit provision to which the exception or reduction applies.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1201.056 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle A - Health Coverage in General|Chapter 1201 - Accident and Health Insurance|Subchapter B. Policy Terms|Section 1201.056. Form Number

Sec. 1201.056.  FORM NUMBER.  Each form that constitutes a part of an individual accident and health insurance policy, including each rider or endorsement, must be identified by a form number placed in the lower left corner of the first page of the form.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1201.057 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle A - Health Coverage in General|Chapter 1201 - Accident and Health Insurance|Subchapter B. Policy Terms|Section 1201.057. Incorporation of or Reference to Other Documents

Sec. 1201.057.  INCORPORATION OF OR REFERENCE TO OTHER DOCUMENTS.  (a)  An individual accident and health insurance policy that provides that a portion of the charter, rules, constitution, or bylaws of the insurer are a part of the policy must state that portion fully in the policy.(b)  An individual accident and health insurance policy may incorporate or refer to:(1)  a statement of rates or classification of risks;  or(2)  a short-rate table filed with the department.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1201.058 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle A - Health Coverage in General|Chapter 1201 - Accident and Health Insurance|Subchapter B. Policy Terms|Section 1201.058. Notification That Policy Is Returnable; Effect of Return

Sec. 1201.058.  NOTIFICATION THAT POLICY IS RETURNABLE;  EFFECT OF RETURN.  (a)  An individual accident and health insurance policy must include a notice that states in substance that the individual to whom the policy is issued is entitled to have the premium paid refunded if, after the individual examines the policy, the individual is not satisfied with the policy for any reason and returns the policy not later than the 10th day after the date the policy is delivered to the individual.(b)  An individual accident and health insurance policy returned to the insurer at the insurer's home or branch office or to the agent through whom the policy was purchased within the time provided by the notice is void from the date the policy was issued, and the parties are in the same position as if the policy had not been issued.(c)  The notice required by this section may be printed on the policy or attached to the policy.(d)  This section does not apply to a single premium nonrenewable policy.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1201.059 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle A - Health Coverage in General|Chapter 1201 - Accident and Health Insurance|Subchapter B. Policy Terms|Section 1201.059. Termination of Coverage Based on Age of Child in Individual, Blanket, or Group Policy

Sec. 1201.059.  TERMINATION OF COVERAGE BASED ON AGE OF CHILD IN INDIVIDUAL, BLANKET, OR GROUP POLICY.  (a)  An accident and health insurance policy, including an individual, blanket, or group policy, and including a policy issued by a corporation operating under Chapter 842, that provides that coverage of a child terminates when the child attains a limiting age specified in the policy must provide in substance that the child's attainment of that age does not terminate coverage while the child is:(1)  incapable of self-sustaining employment because of mental retardation or physical disability;  and(2)  chiefly dependent on the insured or group member for support and maintenance.(b)  To obtain coverage for a child as described by Subsection (a), the insured or group member must provide to the insurer proof of the child's incapacity and dependency:(1)  not later than the 31st day after the date the child attains the limiting age;  and(2)  subsequently as the insurer requires, except that the insurer may not require proof more frequently than annually after the second anniversary of the date the child attains the limiting age.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1201.060 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle A - Health Coverage in General|Chapter 1201 - Accident and Health Insurance|Subchapter B. Policy Terms|Section 1201.060. Required Definition of "Emergency Care" in Individual or Group Policy

Sec. 1201.060.  REQUIRED DEFINITION OF "EMERGENCY CARE" IN INDIVIDUAL OR GROUP POLICY.  An individual or group accident and health insurance policy that provides an emergency care benefit, including a policy issued by a corporation operating under Chapter 842, must define "emergency care" as follows:"Emergency care" means bona fide emergency services provided after the sudden onset of a medical condition manifesting itself by acute symptoms of sufficient severity, including severe pain, such that the absence of immediate medical attention could reasonably be expected to result in:(1)  placing the patient's health in serious jeopardy;(2)  serious impairment to bodily functions;  or(3)  serious dysfunction of any bodily organ or part.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1201.0601 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle A - Health Coverage in General|Chapter 1201 - Accident and Health Insurance|Subchapter B. Policy Terms|Section 1201.0601. Required Definitions: Specified Disease Policy

Sec. 1201.0601.  REQUIRED DEFINITIONS:  SPECIFIED DISEASE POLICY.  An individual or group specified disease insurance policy that uses the term "actual charge" or "actual fee" must define the terms as follows:"Actual charge" or "actual fee" means the amount actually paid by or on behalf of the insured and accepted by a provider for services provided.|Added by Acts 2005, 79th Leg., Ch. 974 (H.B. 1775), Sec. 1, eff. September 1, 2005.|