reglab/housing_qa huggingface dataset:
TX Ins Code § 1251.260 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle B - Group Health Coverage|Chapter 1251 - Group and Blanket Health Insurance|Subchapter F. Continuation or Conversion Privilege on Termination of Coverage Under Group Policy|Section 1251.260. Notice of Continuation and Conversion Privileges

Sec. 1251.260.  NOTICE OF CONTINUATION AND CONVERSION PRIVILEGES.  (a)  An employer that provides to its employees group accident and health insurance coverage that includes a group continuation or conversion privilege on termination of coverage shall give written notice of the continuation or conversion privileges under the policy to each employee or dependent insured under the group and affected by the termination.(b)  The commissioner by rule shall establish minimum standards for the notice required by this section.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1251.301 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle B - Group Health Coverage|Chapter 1251 - Group and Blanket Health Insurance|Subchapter G. Continuation of Group Coverage for Certain Family Members and Dependents|Section 1251.301. Continuation of Group Coverage

 Sec. 1251.301.  CONTINUATION OF GROUP COVERAGE.  A group policy or contract delivered, issued for delivery, renewed, amended, or extended in this state, including a group contract issued by a group hospital service corporation, that provides insurance for hospital, surgical, or medical expenses incurred as a result of accident or sickness must include an option for each individual covered by the policy or contract because of a family or dependent relationship to an individual who is a member of the group for which the policy or contract is provided to continue coverage with the group if the individual's eligibility for coverage under the policy or contract ends because of:(1)  the severance of the family relationship;  or(2)  the retirement or death of the group member.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1251.302 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle B - Group Health Coverage|Chapter 1251 - Group and Blanket Health Insurance|Subchapter G. Continuation of Group Coverage for Certain Family Members and Dependents|Section 1251.302. Eligibility for Continued Coverage

Sec. 1251.302.  ELIGIBILITY FOR CONTINUED COVERAGE.  A family member or dependent of an insured is eligible for continued coverage under this subchapter if the family member or dependent:(1)  has been a member of the group for a period of at least one year;  or(2)  is an infant under one year of age.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1251.303 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle B - Group Health Coverage|Chapter 1251 - Group and Blanket Health Insurance|Subchapter G. Continuation of Group Coverage for Certain Family Members and Dependents|Section 1251.303. Physical Examination Not Required

Sec. 1251.303.  PHYSICAL EXAMINATION NOT REQUIRED.  An individual who exercises the option to continue group coverage under this subchapter may not be required to take and pass a physical examination as a condition to continuing coverage.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1251.304 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle B - Group Health Coverage|Chapter 1251 - Group and Blanket Health Insurance|Subchapter G. Continuation of Group Coverage for Certain Family Members and Dependents|Section 1251.304. Scope of Coverage

Sec. 1251.304.  SCOPE OF COVERAGE.  (a)  An individual covered under group continuation coverage under this subchapter is entitled to coverage that is identical in scope to the coverage provided under the group health insurance policy or contract.  An exclusion that was not included in the health insurance policy or contract may not be included in the group continuation coverage.(b)  If the group policyholder or contract holder replaces the health insurance policy or contract within the period prescribed by Section 1251.310(3), an individual covered under group continuation coverage may obtain coverage identical in scope to the coverage under the replacement group policy as provided by this subchapter.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1251.305 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle B - Group Health Coverage|Chapter 1251 - Group and Blanket Health Insurance|Subchapter G. Continuation of Group Coverage for Certain Family Members and Dependents|Section 1251.305. Amount of Premium

Sec. 1251.305.  AMOUNT OF PREMIUM.  Except as provided by Section 1551.064, the premium for continuation of a spouse or dependent on the group health insurance policy or contract may not be more than the premium charged under the group policy or contract for the individual had the family relationship not been severed.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1251.306 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle B - Group Health Coverage|Chapter 1251 - Group and Blanket Health Insurance|Subchapter G. Continuation of Group Coverage for Certain Family Members and Dependents|Section 1251.306. Payment of Premiums

Sec. 1251.306.  PAYMENT OF PREMIUMS.  (a)  An individual covered under group continuation coverage under this subchapter shall pay premiums for the coverage directly to the group policyholder or contract holder.(b)  The coverage must provide the individual with the option of paying the premiums in monthly installments.(c)  The group policyholder or contract holder may require the individual to pay a monthly fee of not more than $5 for administrative costs.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1251.307 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle B - Group Health Coverage|Chapter 1251 - Group and Blanket Health Insurance|Subchapter G. Continuation of Group Coverage for Certain Family Members and Dependents|Section 1251.307. Notice of Continuation Option

Sec. 1251.307.  NOTICE OF CONTINUATION OPTION.  Except as provided by Section 1551.064, at the time a health insurance policy or contract is issued, the group policyholder or contract holder shall give written notice to each group member and each dependent of a group member covered by the policy or contract of the continuation option under this subchapter.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1251.308 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle B - Group Health Coverage|Chapter 1251 - Group and Blanket Health Insurance|Subchapter G. Continuation of Group Coverage for Certain Family Members and Dependents|Section 1251.308. Notice of Severance of Family Relationship; Notice of Desire to Exercise Option

Sec. 1251.308.  NOTICE OF SEVERANCE OF FAMILY RELATIONSHIP;  NOTICE OF DESIRE TO EXERCISE OPTION.  (a)  Except as provided by Section 1551.064, each group health insurance policy or contract must require a group member to give written notice to the group policyholder or contract holder not later than the 15th day after the date of any severance of the family relationship that might activate the continuation option under this subchapter.  Written notice under this subsection may be given by the group member's dependent.(b)  On receipt of notice under Subsection (a), the group policyholder or contract holder shall immediately give written notice of the continuation option under this subchapter to each affected dependent of the group member.(c)  On receipt of notice of the death or retirement of a group member, the group policyholder or contract holder shall immediately give written notice of the continuation option under this subchapter to each dependent of the group member.  The notice must state the amount of the premium to be charged and must be accompanied by any necessary enrollment forms.(d)  Not later than the 60th day after the date of the severance of the family relationship or the retirement or death of the group member, a dependent must give written notice to the group policyholder or contract holder of the individual's desire to exercise the continuation option under this subchapter.  Coverage under the health insurance policy or contract remains in effect during the period prescribed by this subsection if the policy or contract premiums are paid.(e)  If a dependent does not give written notice of the individual's desire to exercise the continuation option under this subchapter within the time prescribed by Subsection (d), the option expires.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1251.309 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle B - Group Health Coverage|Chapter 1251 - Group and Blanket Health Insurance|Subchapter G. Continuation of Group Coverage for Certain Family Members and Dependents|Section 1251.309. Continuation of Certain Coverages

Sec. 1251.309.  CONTINUATION OF CERTAIN COVERAGES.  (a)  Any period of previous coverage under the health insurance policy or contract, including a policy or contract executed under Chapter 1551, must be used in full or partial satisfaction of any required probationary or waiting periods provided in the contract for dependent coverage.(b)  If a health insurance policy or contract provides to a group member continuation rights to cover the period between the time the member retires and the time the member is eligible for coverage by Medicare, those same continuation rights must be made available to the group member's dependents.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1251.310 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle B - Group Health Coverage|Chapter 1251 - Group and Blanket Health Insurance|Subchapter G. Continuation of Group Coverage for Certain Family Members and Dependents|Section 1251.310. Termination of Continued Coverage

Sec. 1251.310.  TERMINATION OF CONTINUED COVERAGE.  The coverage of an individual who exercises the continuation option under this subchapter continues without interruption and may not be canceled or otherwise terminated until:(1)  the insured fails to make a premium payment within the time required to make the payment;(2)  the insured becomes eligible for substantially similar coverage under another plan or program, including a group health insurance policy or contract, hospital or medical service subscriber contract, or medical practice or other prepayment plan;  or(3)  the third anniversary of:(A)  the severance of the family relationship;  or(B)  the retirement or death of the group member.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1251.351 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle B - Group Health Coverage|Chapter 1251 - Group and Blanket Health Insurance|Subchapter H. Blanket Accident and Health Insurance: Eligible Policyholders|Section 1251.351. Common Carrier or Motor Vehicle Rental or Leasing Company

Sec. 1251.351.  COMMON CARRIER OR MOTOR VEHICLE RENTAL OR LEASING COMPANY.  (a)  A blanket accident and health insurance policy may be issued to:(1)  a common carrier or the operator, owner, or lessor of a means of transportation to cover a group of individuals who may become passengers defined by reference to their travel status on the common carrier or means of transportation;  or(2)  an automobile or truck rental or leasing company to cover a group of individuals who may become renters, lessees, or passengers defined by their travel status on the rented or leased vehicles.(b)  The common carrier, the operator, owner, or lessor of a means of transportation, or the automobile or truck rental or leasing company is the policyholder under a policy to which this section applies.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1251.352 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle B - Group Health Coverage|Chapter 1251 - Group and Blanket Health Insurance|Subchapter H. Blanket Accident and Health Insurance: Eligible Policyholders|Section 1251.352. Employers

Sec. 1251.352.  EMPLOYERS.  (a)  A blanket accident and health insurance policy may be issued to an employer to cover any group of employees, dependents, or guests defined by reference to specified hazards incident to an activity or operation of the employer.(b)  The employer is the policyholder under a policy to which this section applies.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1251.353 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle B - Group Health Coverage|Chapter 1251 - Group and Blanket Health Insurance|Subchapter H. Blanket Accident and Health Insurance: Eligible Policyholders|Section 1251.353. Educational Institutions

Sec. 1251.353.  EDUCATIONAL INSTITUTIONS.  (a)  A blanket accident and health insurance policy may be issued to a college, school, or other institution of learning, to a school district or school jurisdictional unit, or to the head, principal, or governing board of such an educational unit to cover students, teachers, or employees.(b)  The institution, head, principal, or governing board is the policyholder under a policy to which this section applies.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1251.354 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle B - Group Health Coverage|Chapter 1251 - Group and Blanket Health Insurance|Subchapter H. Blanket Accident and Health Insurance: Eligible Policyholders|Section 1251.354. Religious, Charitable, Recreational, Educational, or Civic Organization

Sec. 1251.354.  RELIGIOUS, CHARITABLE, RECREATIONAL, EDUCATIONAL, OR CIVIC ORGANIZATION.  (a)  A blanket accident and health insurance policy may be issued to a religious, charitable, recreational, educational, or civic organization, or a branch of the organization, to cover any group of members or participants defined by reference to specified hazards incident to an activity or operation sponsored or supervised by the organization or branch.(b)  The organization or branch is the policyholder under a policy to which this section applies.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1251.355 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle B - Group Health Coverage|Chapter 1251 - Group and Blanket Health Insurance|Subchapter H. Blanket Accident and Health Insurance: Eligible Policyholders|Section 1251.355. Sports Team or Camp

Sec. 1251.355.  SPORTS TEAM OR CAMP.  (a)  A blanket accident and health insurance policy may be issued to a sports team or camp or the sponsor of a sports team or camp to cover members, campers, employees, officials, or supervisors.(b)  The sports team, camp, or sponsor is the policyholder under a policy to which this section applies.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1251.356 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle B - Group Health Coverage|Chapter 1251 - Group and Blanket Health Insurance|Subchapter H. Blanket Accident and Health Insurance: Eligible Policyholders|Section 1251.356. Governmental or Volunteer Emergency Services Organization

Sec. 1251.356.  GOVERNMENTAL OR VOLUNTEER EMERGENCY SERVICES ORGANIZATION.  (a)  A blanket accident and health insurance policy may be issued to a governmental or volunteer fire department or fire company, first aid or civil defense organization, or similar governmental or volunteer organization to cover a group of members or participants defined by reference to specified hazards incident to an activity or operation sponsored or supervised by the organization.(b)  The governmental or volunteer organization is the policyholder under a policy to which this section applies.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1251.357 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle B - Group Health Coverage|Chapter 1251 - Group and Blanket Health Insurance|Subchapter H. Blanket Accident and Health Insurance: Eligible Policyholders|Section 1251.357. Newspaper or Other Publisher

Sec. 1251.357.  NEWSPAPER OR OTHER PUBLISHER.  (a)  A blanket accident and health insurance policy may be issued to a newspaper or other publisher to cover the publisher's carriers.(b)  The publisher is the policyholder under a policy to which this section applies.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1251.358 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle B - Group Health Coverage|Chapter 1251 - Group and Blanket Health Insurance|Subchapter H. Blanket Accident and Health Insurance: Eligible Policyholders|Section 1251.358. Association

Sec. 1251.358.  ASSOCIATION.  (a)  A blanket accident and health insurance policy may be issued to an association, including a labor union, to cover any group of members or participants defined by reference to specified hazards incident to an activity or operation sponsored or supervised by the association.(b)  To be eligible to obtain a blanket accident and health insurance policy, an association must:(1)  have a constitution and bylaws;  and(2)  have been organized and be maintained in good faith for purposes other than that of obtaining insurance.(c)  The association is the policyholder under a policy to which this section applies.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1251.359 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle B - Group Health Coverage|Chapter 1251 - Group and Blanket Health Insurance|Subchapter H. Blanket Accident and Health Insurance: Eligible Policyholders|Section 1251.359. Coverage for Other Risks

Sec. 1251.359.  COVERAGE FOR OTHER RISKS.  (a)  A blanket accident and health insurance policy may be issued to cover any risk or class of risks other than a risk described by this subchapter that, as determined by the commissioner, is eligible for blanket accident and health insurance.(b)  The commissioner may make a determination under Subsection (a) based on an individual risk, a class of risks, or both.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1251.401 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle B - Group Health Coverage|Chapter 1251 - Group and Blanket Health Insurance|Subchapter I. Blanket Accident and Health Insurance: General Provisions|Section 1251.401. Individual Application and Certificate Not Required

Sec. 1251.401.  INDIVIDUAL APPLICATION AND CERTIFICATE NOT REQUIRED.  (a)  An individual application from an insured under a blanket accident and health insurance policy is not required.(b)  An insurer is not required to provide a certificate to each insured under a blanket accident and health insurance policy.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1251.402 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle B - Group Health Coverage|Chapter 1251 - Group and Blanket Health Insurance|Subchapter I. Blanket Accident and Health Insurance: General Provisions|Section 1251.402. Liability of Policyholder Not Affected

Sec. 1251.402.  LIABILITY OF POLICYHOLDER NOT AFFECTED.  Subchapter H and this subchapter do not affect the legal liability of a policyholder for the death of or injury to a member of a group.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1251.451 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle B - Group Health Coverage|Chapter 1251 - Group and Blanket Health Insurance|Subchapter J. Regulation of Out-of-State Group Accident and Health Insurance Coverage|Section 1251.451. Applicability of Certain Laws to Out-of-State Group Accident and Health Insurance Coverage

Sec. 1251.451.  APPLICABILITY OF CERTAIN LAWS TO OUT-OF-STATE GROUP ACCIDENT AND HEALTH INSURANCE COVERAGE.  (a)  Chapters 1365 and 1368 and Subchapters A and C, Chapter 1451, apply to:(1)  a certificate of insurance issued to a resident of this state under a group accident and health insurance policy delivered, issued for delivery, or renewed outside this state;  or(2)  a certificate issued to a resident of this state under a policy delivered, issued for delivery, or renewed outside this state by a group hospital service corporation.(b)  Subsection (a) does not apply to a specified disease or limited benefit policy.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1252.001 (2021)
2021 Texas Statutes|Insurance Code|Title 8 - Health Insurance and Other Health Coverages|Subtitle B - Group Health Coverage|Chapter 1252 - Discontinuation and Replacement of Group and Group-Type Health Benefit Plan Coverage|Subchapter A. General Provisions|Section 1252.001. Definitions

Sec. 1252.001.  DEFINITIONS.  In this chapter:(1)  "Carrier" means:(A)  an insurer;  or(B)  a group hospital service corporation operating under Chapter 842.(2)  "Health benefit plan" means:(A)  any accident and health insurance policy;(B)  a subscriber contract of a group hospital service corporation;  or(C)  an accident and health benefits package of a multiple employer trust that is not exempt from regulation by this state as an employee welfare benefit plan under the Employee Retirement Income Security Act of 1974 (29 U.S.C. Section 1001 et seq.), as amended.(3)  "Previous carrier" means a carrier whose health benefit plan coverage has been replaced with health benefit plan coverage provided by a succeeding carrier.(4)  "Succeeding carrier" means a carrier that replaces the health benefit plan coverage provided by another carrier with its own health benefit plan coverage.(5)  "Total disability" or "totally disabled" means:(A)  with respect to an employee or other primary insured covered under a health benefit plan, the complete inability of that individual to perform all of the substantial and material duties and functions of the individual's occupation and any other gainful occupation in which the individual earns substantially the same compensation earned before the disability;  and(B)  with respect to any other individual covered under a health benefit plan, confinement as a bed patient in a hospital.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|