reglab/housing_qa huggingface dataset:
TX Ins Code § 1682.001 (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 1682 - Health Benefits Provided by Certain Nonprofit Agricultural Organizations|Section 1682.001. Definitions

Sec. 1682.001.  DEFINITIONS.  In this chapter:(1)  "Nonprofit agricultural organization" means an organization that:(A)  is exempt from taxation under Section 501(a), Internal Revenue Code of 1986, as an organization described by Section 501(c)(5) of that code;(B)  is domiciled in this state;(C)  was in existence prior to 1940;(D)  is composed of members who are residents of at least 98 percent of the counties in this state;(E)  collects annual dues from its members; and(F)  was created to promote and develop the most profitable and desirable system of agriculture and the most wholesome and satisfactory conditions of rural life in accordance with its articles of organization and bylaws.(2)  "Nonprofit agricultural organization health benefits" means health benefits:(A)  sponsored by a nonprofit agricultural organization or an affiliate of the organization;(B)  offered only to:(i)  members of the nonprofit agricultural organization; and(ii)  family members of members of the nonprofit agricultural organization;(C)  that are not provided through an insurance policy or other product the offering or issuance of which is regulated as the business of insurance in this state; and(D)  that are deemed by the nonprofit agricultural organization to be important in assisting its members to live long and productive lives.(3)  "Preexisting condition" means a condition present before the effective date of an individual's enrollment in  nonprofit agricultural organization health benefits.|Added by Acts 2021, 87th Leg., R.S., Ch. 1034 (H.B. 3924), Sec. 3, eff. September 1, 2021.|
TX Ins Code § 1682.002 (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 1682 - Health Benefits Provided by Certain Nonprofit Agricultural Organizations|Section 1682.002. Nonprofit Agricultural Organization Health Benefits Authorized

Sec. 1682.002.  NONPROFIT AGRICULTURAL ORGANIZATION HEALTH BENEFITS AUTHORIZED.  A nonprofit agricultural organization or an affiliate of the organization  may offer in this state nonprofit agricultural organization health benefits.|Added by Acts 2021, 87th Leg., R.S., Ch. 1034 (H.B. 3924), Sec. 3, eff. September 1, 2021.|
TX Ins Code § 1682.003 (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 1682 - Health Benefits Provided by Certain Nonprofit Agricultural Organizations|Section 1682.003. Waiting Period for Preexisting Condition

Sec. 1682.003.  WAITING PERIOD FOR PREEXISTING CONDITION.  Notwithstanding any other provision of this chapter, a nonprofit agricultural organization that offers nonprofit agricultural organization health benefits may not require a waiting period of more than six months for treatment of a preexisting condition otherwise included in nonprofit agricultural organization health benefits.|Added by Acts 2021, 87th Leg., R.S., Ch. 1034 (H.B. 3924), Sec. 3, eff. September 1, 2021.|
TX Ins Code § 1682.004 (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 1682 - Health Benefits Provided by Certain Nonprofit Agricultural Organizations|Section 1682.004. Required Disclosure by Nonprofit Agricultural Organization

Sec. 1682.004.  REQUIRED DISCLOSURE BY NONPROFIT AGRICULTURAL ORGANIZATION.  (a)  A nonprofit agricultural organization that offers nonprofit agricultural organization health benefits must provide to an individual applying for nonprofit agricultural organization health benefits written notice that the benefits are not provided through an insurance policy or other product the offering or issuance of which is regulated as the business of insurance in this state.(b)  An individual must sign and return to the nonprofit agricultural organization the notice described by Subsection (a) before the individual may enroll in nonprofit agricultural organization health benefits.  The nonprofit agricultural organization must:(1)  maintain a copy of the signed written notice for the duration of the term during which the nonprofit agricultural organization health benefits are provided to the individual; and(2)  at the request of the individual, provide a copy of the written notice to the individual.|Added by Acts 2021, 87th Leg., R.S., Ch. 1034 (H.B. 3924), Sec. 3, eff. September 1, 2021.|
TX Ins Code § 1682.005 (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 1682 - Health Benefits Provided by Certain Nonprofit Agricultural Organizations|Section 1682.005. Nonprofit Agricultural Organization Not Engaged in Business of Health Insurance

Sec. 1682.005.  NONPROFIT AGRICULTURAL ORGANIZATION NOT ENGAGED IN BUSINESS OF HEALTH INSURANCE.  Notwithstanding any other provision of this code, for the purposes of offering nonprofit agricultural organization health benefits, a nonprofit agricultural organization that acts in accordance with this chapter is not a health insurer and is not engaging in the business of health insurance in this state.|Added by Acts 2021, 87th Leg., R.S., Ch. 1034 (H.B. 3924), Sec. 3, eff. September 1, 2021.|
TX Ins Code § 1682.006 (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 1682 - Health Benefits Provided by Certain Nonprofit Agricultural Organizations|Section 1682.006. Risk Transfer or Coverage

Sec. 1682.006.  RISK TRANSFER OR COVERAGE.  A nonprofit agricultural organization that offers nonprofit agricultural organization health benefits under this chapter may contract with a company authorized to engage in the business of insurance in this state that is not under common control with the nonprofit agricultural organization to:(1)  transfer to that company all or a portion of the organization's risks arising from nonprofit agricultural organization health benefits offered under this chapter; or(2)  obtain insurance coverage from the company guarantying the nonprofit agricultural organization's obligations arising from nonprofit agricultural organization health benefits offered under this chapter.|Added by Acts 2021, 87th Leg., R.S., Ch. 1034 (H.B. 3924), Sec. 3, eff. September 1, 2021.|
TX Ins Code § 1693.001 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle L - Qualified Health Plan Mandatory Disclosures|Chapter 1693 - Qualified Health Plan Identification Cards|Section 1693.001. Definitions

Sec. 1693.001.  DEFINITIONS.  Except as provided by Section 1693.003, in this chapter, "enrollee," "exchange," "qualified health plan," and "qualified health plan issuer" have the meanings assigned by 45 C.F.R. Section 155.20 as that section existed on January 1, 2015.|Added by Acts 2015, 84th Leg., R.S., Ch. 732 (H.B. 1514), Sec. 1, eff. September 1, 2015.|
TX Ins Code § 1693.002 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle L - Qualified Health Plan Mandatory Disclosures|Chapter 1693 - Qualified Health Plan Identification Cards|Section 1693.002. Required Information

Sec. 1693.002.  REQUIRED INFORMATION.  An identification card or other similar document issued by a qualified health plan issuer to an enrollee of a qualified health plan purchased through an exchange must, in addition to any requirement under other law, including Sections 843.209, 1301.162, and 1369.153, display on the card or document in a location of the issuer's choice the acronym "QHP."|Added by Acts 2015, 84th Leg., R.S., Ch. 732 (H.B. 1514), Sec. 1, eff. September 1, 2015.|Sec. 1693.003.  COMMISSIONER DETERMINATIONS REGARDING FEDERAL REGULATIONS.  (a) The commissioner shall monitor 45 C.F.R. Section 155.20 for amendments to the definitions listed in Section 1693.001 and determine if it is in the best interest of the state to adopt an amended definition for purposes of this chapter.  If the commissioner determines that it is in the best interest of the state to adopt the amended definition, the commissioner by rule shall adopt the amended definition.(b)  In making the determination about an amendment, the commissioner shall  consider, in addition to other factors affecting the public interest, the beneficial and adverse effects the amendment may  have on:(1)  individuals who are receiving medical care and health care services in this state; and(2)  health care providers and physicians.|Added by Acts 2015, 84th Leg., R.S., Ch. 732 (H.B. 1514), Sec. 1, eff. September 1, 2015.|
TX Ins Code § 1693.004 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle L - Qualified Health Plan Mandatory Disclosures|Chapter 1693 - Qualified Health Plan Identification Cards|Section 1693.004. Report to Legislature

Sec. 1693.004.  REPORT TO LEGISLATURE.  The commissioner shall prepare a report of a determination made under Section 1693.003, including an explanation of the reasons for the determination, and file the report with the presiding officer of each house of the legislature not later than the 30th day after the date the determination is made. |Added by Acts 2015, 84th Leg., R.S., Ch. 732 (H.B. 1514), Sec. 1, eff. September 1, 2015.|
TX Ins Code § 1693.005 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle L - Qualified Health Plan Mandatory Disclosures|Chapter 1693 - Qualified Health Plan Identification Cards|Section 1693.005. Rules

Sec. 1693.005.  RULES.  The commissioner may adopt rules as necessary to administer and enforce this chapter.|Added by Acts 2015, 84th Leg., R.S., Ch. 732 (H.B. 1514), Sec. 1, eff. September 1, 2015.|
TX Ins Code § 1695.001 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle M - Federal Patient Protection and Affordable Care Act|Chapter 1695 - Legislative Considerations|Section 1695.001. Constitutionality of Patient Protection and Affordable Care Act

Sec. 1695.001.  CONSTITUTIONALITY OF PATIENT PROTECTION AND AFFORDABLE CARE ACT.  This subtitle does not constitute an acknowledgment by the legislature of the legitimacy of the Patient Protection and Affordable Care Act (Pub. L. No. 111-148) as a constitutional exercise of the power of the United States Congress.|Added by Acts 2017, 85th Leg., 1st C.S., Ch. 5 (H.B. 214), Sec. 1, eff. December 1, 2017.|
TX Ins Code § 1696.001 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle M - Federal Patient Protection and Affordable Care Act|Chapter 1696 - Coverage for Elective Abortion; Prohibitions and Requirements|Section 1696.001. Definitions

Sec. 1696.001.  DEFINITIONS.  In this chapter:(1)  "Elective abortion" means an abortion, as defined by Section 245.002, Health and Safety Code, other than an abortion performed due to a medical emergency as defined by Section 171.002, Health and Safety Code.(2)  "Health benefit exchange" means an American Health Benefit Exchange administered by the federal government or created under Section 1311(b) of the Patient Protection and Affordable Care Act (42 U.S.C. Section 18031(b)).(3)  "Qualified health plan" has the meaning assigned by Section 1301(a) of the Patient Protection and Affordable Care Act (42 U.S.C. Section 18021(a)).|Added by Acts 2017, 85th Leg., 1st C.S., Ch. 5 (H.B. 214), Sec. 1, eff. December 1, 2017.|
TX Ins Code § 1696.002 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle M - Federal Patient Protection and Affordable Care Act|Chapter 1696 - Coverage for Elective Abortion; Prohibitions and Requirements|Section 1696.002. Prohibited Coverage Through Health Benefit Exchange

Sec. 1696.002.  PROHIBITED COVERAGE THROUGH HEALTH BENEFIT EXCHANGE.  (a)  A qualified health plan offered through a health benefit exchange may not provide coverage for elective abortion.(b)  This section does not prevent a person from purchasing optional or supplemental coverage for elective abortion under a health benefit plan other than a qualified health plan offered through a health benefit exchange.|Added by Acts 2017, 85th Leg., 1st C.S., Ch. 5 (H.B. 214), Sec. 1, eff. December 1, 2017.|
TX Ins Code § 1701.001 (2021)
2021 Texas Statutes|Insurance Code|Title 9 - Provisions Applicable to Life and Health Coverages|Chapter 1701 - Policy Forms|Subchapter A. General Provisions|Section 1701.001. Definition

Sec. 1701.001.  DEFINITION.  In this chapter, "use" includes issue and deliver.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 5, eff. April 1, 2005.|
TX Ins Code § 1701.002 (2021)
2021 Texas Statutes|Insurance Code|Title 9 - Provisions Applicable to Life and Health Coverages|Chapter 1701 - Policy Forms|Subchapter A. General Provisions|Section 1701.002. Applicability of Chapter to Forms of Certain Documents

Sec. 1701.002.  APPLICABILITY OF CHAPTER TO FORMS OF CERTAIN DOCUMENTS.  This chapter applies to the form of the following document:(1)  a policy, contract, or certificate of:(A)  accident or health insurance, including group accident or health insurance;(B)  medical or surgical insurance, including group medical or surgical insurance;(C)  life or term insurance, including group life or term insurance;(D)  endowment insurance;(E)  industrial life insurance;  or(F)  fraternal benefit insurance;(2)  an annuity or pure endowment contract, including a group annuity contract;(3)  an application attached or required to be attached to the policy, contract, or certificate;  or(4)  a rider or endorsement to be attached to, printed on, or used in connection with the policy, contract, or certificate.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 5, eff. April 1, 2005.|
TX Ins Code § 1701.003 (2021)
2021 Texas Statutes|Insurance Code|Title 9 - Provisions Applicable to Life and Health Coverages|Chapter 1701 - Policy Forms|Subchapter A. General Provisions|Section 1701.003. Applicability of Chapter to Certain Insurers

Sec. 1701.003.  APPLICABILITY OF CHAPTER TO CERTAIN INSURERS.  (a)  Except as provided by Subsection (b), this chapter applies to any insurer that uses a document described by Section 1701.002 in this state, including:(1)  a life, accident, health, or casualty insurance company;(2)  a mutual life insurance company;(3)  a mutual insurance company other than a mutual life insurance company;(4)  a mutual or natural premium life insurance company;(5)  a general casualty company;(6)  a Lloyd's plan;(7)  a reciprocal or interinsurance exchange;(8)  a fraternal benefit society;  and(9)  a group hospital service corporation.(b)  This chapter does not apply to a society, company, or other insurer whose activities are by statute exempt from department control and that is entitled by statute to a certificate from the department showing that exempt status.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 5, eff. April 1, 2005.|
TX Ins Code § 1701.004 (2021)
2021 Texas Statutes|Insurance Code|Title 9 - Provisions Applicable to Life and Health Coverages|Chapter 1701 - Policy Forms|Subchapter A. General Provisions|Section 1701.004. Construction of Chapter

Sec. 1701.004.  CONSTRUCTION OF CHAPTER.  This chapter may not be construed to enlarge the powers of an insurer subject to this chapter.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 5, eff. April 1, 2005.|
TX Ins Code § 1701.005 (2021)
2021 Texas Statutes|Insurance Code|Title 9 - Provisions Applicable to Life and Health Coverages|Chapter 1701 - Policy Forms|Subchapter A. General Provisions|Section 1701.005. Exemptions

Sec. 1701.005.  EXEMPTIONS.  (a)  This chapter does not apply to:(1)  a rider or endorsement that is used at the request of the holder of a policy, contract, or certificate subject to this chapter and that  relates to:(A)  the manner of distribution of benefits under the policy, contract, or certificate; or(B)  the reservation of rights and benefits under the policy, contract, or certificate; or(2)  the modification of a previously approved insurance policy form for the sole purpose of adding the statement required by Section 154.2021(a)(3), Finance Code.(b)  The commissioner by written order may exempt a document from the requirements of this chapter for the period the commissioner considers proper if the commissioner determines that:(1)  this chapter may not practically be applied to the document;(2)  the document's preparation, use, and meaning have become routine or commonplace;  or(3)  the filing and approval of the form of the document are not desirable, appropriate, required, or necessary for the protection of the public.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 5, eff. April 1, 2005.Amended by: Acts 2009, 81st Leg., R.S., Ch. 1190 (H.B. 3762), Sec. 34, eff. September 1, 2009.|
TX Ins Code § 1701.051 (2021)
2021 Texas Statutes|Insurance Code|Title 9 - Provisions Applicable to Life and Health Coverages|Chapter 1701 - Policy Forms|Subchapter B. Filing Requirement|Section 1701.051. Filing Required

Sec. 1701.051.  FILING REQUIRED.  (a)  Except as provided by Section 1701.005, an insurer may not use a document described by Section 1701.002 in this state unless the form of the document is filed with the department in accordance with this chapter.(b)  Except as provided by Section 1701.052, the insurer must file the form of the document not later than the 60th day before the date the document is used.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 5, eff. April 1, 2005.|
TX Ins Code § 1701.052 (2021)
2021 Texas Statutes|Insurance Code|Title 9 - Provisions Applicable to Life and Health Coverages|Chapter 1701 - Policy Forms|Subchapter B. Filing Requirement|Section 1701.052. File and Use

Sec. 1701.052.  FILE AND USE.  (a)  An insurer may use a document described by Section 1701.002 immediately after the form of the document is filed if the form, when filed, is accompanied by a certification that meets the requirements of Subsection (b).(b)  The certification accompanying a form must:(1)  be signed by:(A)  an attorney licensed to practice law in this state;(B)  an actuary familiar with the requirements of this code and applicable rules adopted under this code;(C)  the chief executive officer of the insurer;  or(D)  an individual designated by the chief executive officer of the insurer;  and(2)  affirm that:(A)  the certification is made on behalf of the insurer filing the form;(B)  the insurer is bound by the certification;(C)  the individual making the certification has reviewed the form;  and(D)  to the best knowledge, information, and belief of the individual making the certification, the form complies with this code and rules applicable to the form.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 5, eff. April 1, 2005.|
TX Ins Code § 1701.053 (2021)
2021 Texas Statutes|Insurance Code|Title 9 - Provisions Applicable to Life and Health Coverages|Chapter 1701 - Policy Forms|Subchapter B. Filing Requirement|Section 1701.053. Filing Fee

Sec. 1701.053.  FILING FEE.  (a)  The department shall collect a fee in an amount determined by the commissioner for the filing of the form of a document under this chapter.(b)  The fee may not exceed:(1)  $100 for filing the form of a new or amended document that is not exempt from review under Section 1701.005(b);  and(2)  $50 for filing the form of a new or amended document that is exempt from review under Section 1701.005(b).|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 5, eff. April 1, 2005.|
TX Ins Code § 1701.054 (2021)
2021 Texas Statutes|Insurance Code|Title 9 - Provisions Applicable to Life and Health Coverages|Chapter 1701 - Policy Forms|Subchapter B. Filing Requirement|Section 1701.054. Approval of Form

Sec. 1701.054.  APPROVAL OF FORM.  (a)  A form filed under this chapter that is not affirmatively approved or disapproved in a written order of the commissioner on or before the 60th day after the date the form is filed is considered approved on the 61st day after the date of filing unless the approval period is extended under this section.(b)  An insurer may request in writing that the approval period for a form be extended for an additional period not to exceed 45 days.(c)  An extension requested under this section is considered granted on the date the department receives the request.(d)  Only one extension may be granted under this section.(e)  If an extension is granted under this section and the commissioner does not affirmatively approve or disapprove the form before the extended period expires, the form is considered approved on the day after the date the extended period expires.(f)  If the commissioner approves a form that is filed without a certification meeting the requirements of Section 1701.052(b) before the expiration of the approval period, including any extension, the remaining portion of the period is waived.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 5, eff. April 1, 2005.|
TX Ins Code § 1701.055 (2021)
2021 Texas Statutes|Insurance Code|Title 9 - Provisions Applicable to Life and Health Coverages|Chapter 1701 - Policy Forms|Subchapter B. Filing Requirement|Section 1701.055. Disapproval of Form or Withdrawal of Approval or Exemption

Sec. 1701.055.  DISAPPROVAL OF FORM OR WITHDRAWAL OF APPROVAL OR EXEMPTION.  (a)  Except as provided by Subsection (d), the commissioner may disapprove or, after notice and hearing, withdraw approval of a form if the form:(1)  violates this code, a rule of the commissioner, or any other law;  or(2)  contains a provision, title, or heading that is unjust, encourages misrepresentation, or is deceptive.(b)  A form filed under this chapter that contains a coordination of benefits provision may not be approved for use in this state unless the form provides for the order of benefits determination for insured dependent children.  An order of benefits determination provision may not be approved if the provision:(1)  violates this code, a rule of the commissioner, or any other law;  or(2)  contains a provision, title, or heading that is unjust, encourages misrepresentation, or is deceptive.(c)  If necessary to accomplish the purpose of Subsection (b), the commissioner may adopt a policy provision and order the inclusion of that provision in a document subject to that subsection.(d)  If a form has been on file with the department for at least 180 days and has previously been affirmatively approved by the commissioner, been considered approved under this chapter, or been exempted from the approval requirements under this chapter, the commissioner may withdraw the approval or exemption only if:(1)  the form violates this code or a rule adopted under this code;  or(2)  the commissioner finds proof of gross misrepresentation or fraud to a policyholder.(e)  An order of the commissioner disapproving or withdrawing approval for a form must state the grounds for the disapproval or withdrawal of approval and describe in adequate detail the changes that are necessary to obtain approval.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 5, eff. April 1, 2005.|
TX Ins Code § 1701.056 (2021)
2021 Texas Statutes|Insurance Code|Title 9 - Provisions Applicable to Life and Health Coverages|Chapter 1701 - Policy Forms|Subchapter B. Filing Requirement|Section 1701.056. Use of Disapproved Form Prohibited

Sec. 1701.056.  USE OF DISAPPROVED FORM PROHIBITED.  An insurer who receives written notice that a form filed by the insurer has been disapproved by the commissioner shall immediately stop using the form.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 5, eff. April 1, 2005.|