reglab/housing_qa huggingface dataset:
TX Ins Code § 1576.008 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1576 - Group Long-Term Care Insurance for Public School Employees|Section 1576.008. Competitive Bidding Requirements; Rules

Sec. 1576.008.  COMPETITIVE BIDDING REQUIREMENTS; RULES.  (a)  A contract to provide benefits under this chapter may be awarded only through competitive bidding under rules adopted by the trustee.(b)  The rules may provide criteria for determining whether a carrier is qualified.|Added by Acts 2005, 79th Leg., Ch. 1359 (S.B. 1691), Sec. 47, eff. September 1, 2005.|
TX Ins Code § 1576.009 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1576 - Group Long-Term Care Insurance for Public School Employees|Section 1576.009. Contract Award; Considerations

Sec. 1576.009.  CONTRACT AWARD; CONSIDERATIONS.  (a)  In awarding a contract under this chapter, the trustee is not required to select the lowest bid and may consider any relevant criteria, including a bidder's:(1)  ability to service contracts;(2)  past experience; and(3)  financial stability.(b)  If the trustee awards a contract to a bidder whose bid deviates from that advertised, the trustee shall record the deviation and fully justify the reason for the deviation in the minutes of the next meeting of the trustee.|Added by Acts 2005, 79th Leg., Ch. 1359 (S.B. 1691), Sec. 47, eff. September 1, 2005.|
TX Ins Code § 1576.010 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1576 - Group Long-Term Care Insurance for Public School Employees|Section 1576.010. Group Long-Term Care Insurance Program Fund

Sec. 1576.010.  GROUP LONG-TERM CARE INSURANCE PROGRAM FUND.  (a)  The group long-term care insurance program fund is a trust fund with the comptroller.(b)  The trustee shall administer the fund on behalf of the participants in the plan of insurance coverage provided under this chapter.(c)  The following shall be credited to the fund:(1)  money recovered under contracts for providing insurance coverage under this chapter; and(2)  investment and depository income.|Added by Acts 2005, 79th Leg., Ch. 1359 (S.B. 1691), Sec. 47, eff. September 1, 2005.|
TX Ins Code § 1576.011 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1576 - Group Long-Term Care Insurance for Public School Employees|Section 1576.011. Investment of Fund

Sec. 1576.011.  INVESTMENT OF FUND.  The trustee may invest the group long-term care insurance program fund in the manner provided by Section 67(a)(3), Article XVI, Texas Constitution.|Added by Acts 2005, 79th Leg., Ch. 1359 (S.B. 1691), Sec. 47, eff. September 1, 2005.|
TX Ins Code § 1576.012 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1576 - Group Long-Term Care Insurance for Public School Employees|Section 1576.012. Payments From Fund

Sec. 1576.012.  PAYMENTS FROM FUND.  Money in the group long-term care insurance program fund may be used only to cover the cost of administering the program and to provide coverage under this chapter.|Added by Acts 2005, 79th Leg., Ch. 1359 (S.B. 1691), Sec. 47, eff. September 1, 2005.|
TX Ins Code § 1576.013 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1576 - Group Long-Term Care Insurance for Public School Employees|Section 1576.013. Coverage Exempt From Insurance Law

Sec. 1576.013.  COVERAGE EXEMPT FROM INSURANCE LAW.  A coverage plan provided under this chapter is exempt from any other insurance law, including common law, that does not expressly apply to the plan or this chapter.|Added by Acts 2005, 79th Leg., Ch. 1359 (S.B. 1691), Sec. 47, eff. September 1, 2005.|
TX Ins Code § 1625.001 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1625 - Transfer Between Certain Governmental Programs|Section 1625.001. Definitions

Sec. 1625.001.  DEFINITIONS.  In this chapter:(1)  "Board of trustees" has the meaning assigned by Section 1551.003.(2)  "Institution of higher education" means a senior college or university, medical or dental unit, technical institute, or agency of higher education under the policy direction of a single governing board.  The term does not include a public junior college.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.|
TX Ins Code § 1625.002 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1625 - Transfer Between Certain Governmental Programs|Section 1625.002. Inapplicability of Preexisting Conditions Requirement

Sec. 1625.002.  INAPPLICABILITY OF PREEXISTING CONDITIONS REQUIREMENT.  A person, including a covered dependent, who obtains insurance, benefits, or any type of health care services coverage under Chapter 1551 or 1601 may transfer from an institution of higher education or other state agency to which either law applies to another institution of higher education or state agency to which either law applies without being required to comply with any preexisting conditions requirement.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.|
TX Ins Code § 1625.003 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1625 - Transfer Between Certain Governmental Programs|Section 1625.003. Rules

Sec. 1625.003.  RULES.  The board of trustees and the governing boards of institutions of higher education may adopt rules necessary to implement this chapter.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.|
TX Ins Code § 1625.004 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1625 - Transfer Between Certain Governmental Programs|Section 1625.004. Memorandum of Understanding

Sec. 1625.004.  MEMORANDUM OF UNDERSTANDING.  The board of trustees and the governing boards of institutions of higher education may enter into memoranda of understanding with one another to implement this chapter.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.|
TX Ins Code § 1625.005 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle H - Health Benefits and Other Coverages for Governmental Employees|Chapter 1625 - Transfer Between Certain Governmental Programs|Section 1625.005. Uniform Procedures

Sec. 1625.005.  UNIFORM PROCEDURES.  The governing board of an institution of higher education and the board of trustees may:(1)  adopt uniform procedures to implement a transfer under this chapter;  and(2)  impose conditions necessary to ensure the efficient operation of the programs over which each has jurisdiction.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.|
TX Ins Code § 1653.001 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle I - Specialized Coverages|Chapter 1653 - High Deductible Health Plan|Section 1653.001. Definition

Sec. 1653.001.  DEFINITION.  In this chapter, "high deductible health plan" has the meaning assigned by Section 223, Internal Revenue Code of 1986.|Added by Acts 2005, 79th Leg., Ch. 151 (H.B. 1602), Sec. 1, eff. May 24, 2005.|
TX Ins Code § 1653.002 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle I - Specialized Coverages|Chapter 1653 - High Deductible Health Plan|Section 1653.002. Applicability of Other Law

Sec. 1653.002.  APPLICABILITY OF OTHER LAW.  (a)  Subject to Subsection (b), a high deductible health plan is subject to any law mandating a minimum health insurance benefit or reimbursement.(b)  Notwithstanding any other law, a provision of this code may not be construed to prevent an insurer, health maintenance organization, or other entity issuing a health insurance policy or certificate of coverage from applying deductible or copayment requirements to benefits, including state-mandated health benefits, in order to qualify the health insurance policy or certificate of coverage as a high deductible health plan.|Added by Acts 2005, 79th Leg., Ch. 151 (H.B. 1602), Sec. 1, eff. May 24, 2005.|
TX Ins Code § 1653.003 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle I - Specialized Coverages|Chapter 1653 - High Deductible Health Plan|Section 1653.003. Rules

Sec. 1653.003.  RULES.  The commissioner shall adopt rules necessary to implement this chapter.|Added by Acts 2005, 79th Leg., Ch. 151 (H.B. 1602), Sec. 1, eff. May 24, 2005.|
TX Ins Code § 1661.001 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle J - Health Information Technology and Availability|Chapter 1661 - Information Technology|Section 1661.001. Definitions

Sec. 1661.001.  DEFINITIONS.  In this chapter:(1)  "Health benefit plan" means a plan that provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, including an individual, group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, or an individual or group evidence of coverage that is offered by:(A)  an insurance company;(B)  a group hospital service corporation operating under Chapter 842;(C)  a fraternal benefit society operating under Chapter 885;(D)  a stipulated premium company operating under Chapter 884;(E)  a Lloyd's plan operating under Chapter 941;(F)  an exchange operating under Chapter 942;(G)  a health maintenance organization operating under Chapter 843;(H)  a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846;(I)  an approved nonprofit health corporation that holds a certificate of authority under Chapter 844; or(J)  an entity not authorized under this code or another insurance law of this state that contracts directly for health care services on a risk-sharing basis, including a capitation basis.(2)  "Health benefit plan issuer" means an entity authorized to issue a health benefit plan in this state.(3)  "Health care provider" means:(A)  an individual who is licensed, certified, or otherwise authorized to provide health care services; or(B)  a hospital, emergency clinic, outpatient clinic, or other facility providing health care services.(4)  "Participating provider" means a health care provider who has contracted with a health benefit plan issuer to provide services to enrollees.|Added by Acts 2009, 81st Leg., R.S., Ch. 261 (H.B. 1342), Sec. 1, eff. May 30, 2009.|
TX Ins Code § 1661.002 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle J - Health Information Technology and Availability|Chapter 1661 - Information Technology|Section 1661.002. Use of Certain Information Technology Required

Sec. 1661.002.  USE OF CERTAIN INFORMATION TECHNOLOGY REQUIRED.  (a)  A health benefit plan issuer shall use information technology that provides a participating provider with real-time information at the point of care concerning:(1)  the enrollee's:(A)  copayment and coinsurance;(B)  applicable deductibles; and(C)  covered benefits and services; and(2)  the enrollee's estimated total financial responsibility for the care.(b)  A health benefit plan issuer shall use information technology that provides an enrollee with information concerning the enrollee's:(1)  copayment and coinsurance;(2)  applicable deductibles;(3)  covered benefits and services; and(4)  estimated financial responsibility for the health care provided to the enrollee.(c)  Nothing in this section may be interpreted as a guarantee of payment for health care services.(d)  A health benefit plan issuer's Internet website may be used to meet the information technology requirements of this chapter.|Added by Acts 2009, 81st Leg., R.S., Ch. 261 (H.B. 1342), Sec. 1, eff. May 30, 2009.|
TX Ins Code § 1661.003 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle J - Health Information Technology and Availability|Chapter 1661 - Information Technology|Section 1661.003. Exceptions

Sec. 1661.003.  EXCEPTIONS.  This chapter does not apply to:(1)  a health benefit plan that provides coverage only:(A)  for a specified disease or diseases or under a limited benefit policy;(B)  for accidental death or dismemberment;(C)  as a supplement to a liability insurance policy; or(D)  for dental or vision care;(2)  disability income insurance coverage;(3)  credit insurance coverage;(4)  a hospital confinement indemnity policy;(5)  a Medicare supplemental policy as defined by Section 1882(g)(1), Social Security Act (42 U.S.C. Section 1395ss);(6)  a workers' compensation insurance policy;(7)  medical payment insurance coverage provided under a motor vehicle insurance policy;(8)  a long-term care insurance policy, including a nursing home fixed indemnity policy, unless the commissioner determines that the policy provides benefits so comprehensive that the policy is a health benefit plan and should not be subject to the exemption provided under this section;(9)  the child health plan program under Chapter 62, Health and Safety Code, or the health benefits plan for children under Chapter 63, Health and Safety Code; or(10)  a Medicaid managed care program operated under Chapter 533, Government Code, or a Medicaid program operated under Chapter 32, Human Resources Code.|Added by Acts 2009, 81st Leg., R.S., Ch. 261 (H.B. 1342), Sec. 1, eff. May 30, 2009.|
TX Ins Code § 1661.004 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle J - Health Information Technology and Availability|Chapter 1661 - Information Technology|Section 1661.004. Required Use of Technology by Providers

Sec. 1661.004.  REQUIRED USE OF TECHNOLOGY BY PROVIDERS.  A physician, hospital, or other health care provider shall use information technology as required under this chapter beginning not later than September 1, 2013.|Added by Acts 2009, 81st Leg., R.S., Ch. 261 (H.B. 1342), Sec. 1, eff. May 30, 2009.|
TX Ins Code § 1661.005 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle J - Health Information Technology and Availability|Chapter 1661 - Information Technology|Section 1661.005. Refund of Overpayment

Sec. 1661.005.  REFUND OF OVERPAYMENT.  A physician, hospital, or other health care provider that receives an overpayment from an enrollee must refund the amount of the overpayment to the enrollee not later than the 30th day after the date the physician, hospital, or health care provider determines that an overpayment has been made. This section does not apply to an overpayment subject to Section 843.350 or 1301.132.|Added by Acts 2009, 81st Leg., R.S., Ch. 261 (H.B. 1342), Sec. 1, eff. May 30, 2009.|
TX Ins Code § 1661.0055 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle J - Health Information Technology and Availability|Chapter 1661 - Information Technology|Section 1661.0055. Use of Technology: Waiver

Sec. 1661.0055.  USE OF TECHNOLOGY: WAIVER.  (a)  Notwithstanding Section 1661.004, physicians or health care providers with fewer than five full-time-equivalent employees are not required to use information technology as required under this chapter.(b)  A health benefit plan issuer may not require, through contract or otherwise, physicians or health care providers with fewer than five full-time-equivalent employees to use information technology as required under this chapter.(c)  A contract between the issuer of a health benefit plan and a physician or health care provider must provide for a waiver of any requirement for the use of information technology as established or required under this chapter.(d)  The commissioner shall establish the circumstances under which the requirements of this chapter do not apply to a physician or health care provider including:(1)  undue hardship, including fiscal or operational hardship; or(2)  any other special circumstance that would justify an exclusion.(e)  The commissioner shall establish circumstances under which a waiver under Subsection (c) is required, including:(1)  undue hardship, including fiscal or operational hardship; or(2)  any other special circumstance that would justify a waiver.(f)  Any physician or health care provider that is denied a waiver by a health benefit plan issuer may appeal the denial to the commissioner.  The commissioner shall determine whether a waiver must be granted.(g)  A health benefit plan issuer may not refuse to contract or renew a contract with a physician or health care provider based in whole or in part on the physician or provider requesting or receiving a waiver or appealing a waiver determination. A health benefit plan issuer may not refuse to contract or renew a contract with a physician or health care provider based in whole or in part on the physician or provider meeting the exemptions contained in Subsections (a) and (b).(h)  A waiver approved under this section expires September 1, 2013.|Added by Acts 2009, 81st Leg., R.S., Ch. 261 (H.B. 1342), Sec. 1, eff. May 30, 2009.|
TX Ins Code § 1661.006 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle J - Health Information Technology and Availability|Chapter 1661 - Information Technology|Section 1661.006. Health Benefit Plan Issuer Conduct

Sec. 1661.006.  HEALTH BENEFIT PLAN ISSUER CONDUCT.  A contract between a health benefit plan issuer and a physician, hospital, or other health care provider may not prohibit the physician, hospital, or health care provider from collecting, at the time of care, the estimated amount for which the enrollee may be financially responsible.|Added by Acts 2009, 81st Leg., R.S., Ch. 261 (H.B. 1342), Sec. 1, eff. May 30, 2009.|
TX Ins Code § 1661.007 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle J - Health Information Technology and Availability|Chapter 1661 - Information Technology|Section 1661.007. Certain Fees Prohibited

Sec. 1661.007.  CERTAIN FEES PROHIBITED.  A health benefit plan issuer may not directly charge or collect from an enrollee or a physician, or other health care provider, a fee to cover the costs incurred by the health benefit plan issuer in complying with this chapter.|Added by Acts 2009, 81st Leg., R.S., Ch. 261 (H.B. 1342), Sec. 1, eff. May 30, 2009.|
TX Ins Code § 1661.009 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle J - Health Information Technology and Availability|Chapter 1661 - Information Technology|Section 1661.009. Rules

Sec. 1661.009.  RULES.  (a)  The commissioner shall adopt rules as necessary to implement this chapter, including rules that ensure that the information technology used by a health benefit plan issuer does not have legal or technical restrictions for encoding, displaying, exchanging, reading, printing, transmitting, or storing information or data in electronic form.(b)  Rules adopted by the commissioner must be consistent with national standards established by the Workgroup for Electronic Data Interchange or by other similar organizations recognized by the commissioner.|Added by Acts 2009, 81st Leg., R.S., Ch. 261 (H.B. 1342), Sec. 1, eff. May 30, 2009.|
TX Ins Code § 1681.001 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle K - Certain Benefits and Arrangements That Are Not Insurance|Chapter 1681 - Health Care Sharing Ministries|Section 1681.001. Treatment as Health Care Sharing Ministry

Sec. 1681.001.  TREATMENT AS HEALTH CARE SHARING MINISTRY.  A faith-based, nonprofit organization that is tax-exempt under the Internal Revenue Code of 1986 qualifies for treatment as a health care sharing ministry under this chapter if it:(1)  limits its participants to individuals of a similar faith;(2)  acts as a facilitator among participants who have medical bills and matches those participants with other participants with the present ability to assist those with medical bills in accordance with criteria established by the health care sharing ministry;(3)  provides for the medical bills of a participant through contributions from one participant to another;(4)  provides amounts that participants may contribute with no assumption of risk or promise to pay among the participants and no assumption of risk or promise to pay by the health care sharing ministry to the participants;(5)  provides a written monthly statement to all participants that lists the total dollar amount of qualified needs submitted to the health care sharing ministry, as well as the amount actually published or assigned to participants for their contribution;(6)  discloses administrative fees and costs to participants;(7)  provides that any card issued to a participant for the purpose of presentation to a health care provider clearly indicates that the participant is part of a health care sharing ministry that is not engaging in the business of insurance;(8)  provides a written disclaimer on or accompanying all applications and guideline materials distributed by or on behalf of the ministry that complies with Section 1681.002; and(9)  does not operate a discount health care program as defined by Section 7001.001.|Added by Acts 2013, 83rd Leg., R.S., Ch. 455 (S.B. 874), Sec. 1, eff. June 14, 2013.|
TX Ins Code § 1681.002 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle K - Certain Benefits and Arrangements That Are Not Insurance|Chapter 1681 - Health Care Sharing Ministries|Section 1681.002. Notice

Sec. 1681.002.  NOTICE.  To qualify as a health care sharing ministry under this chapter, the notice described by Section 1681.001(8) must read substantially as follows:"Notice:  This health care sharing ministry facilitates the sharing of medical expenses and is not an insurance company, and neither its guidelines nor its plan of operation is an insurance policy.  Whether anyone chooses to assist you with your medical bills will be totally voluntary because no other participant will be compelled by law to contribute toward your medical bills.  As such, participation in the ministry or a subscription to any of its documents should never be considered to be insurance.  Regardless of whether you receive any payment for medical expenses or whether this ministry continues to operate, you are always personally responsible for the payment of your own medical bills.  Complaints concerning this health care sharing ministry may be reported to the office of the Texas attorney general."|Added by Acts 2013, 83rd Leg., R.S., Ch. 455 (S.B. 874), Sec. 1, eff. June 14, 2013.|
TX Ins Code § 1681.003 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle K - Certain Benefits and Arrangements That Are Not Insurance|Chapter 1681 - Health Care Sharing Ministries|Section 1681.003. Exemption

Sec. 1681.003.  EXEMPTION.  Notwithstanding any other provision of this code, a health care sharing ministry that acts in accordance with this chapter is not considered to be engaging in the business of insurance.|Added by Acts 2013, 83rd Leg., R.S., Ch. 455 (S.B. 874), Sec. 1, eff. June 14, 2013.|