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TITLE 28INSURANCE
PART 1TEXAS DEPARTMENT OF INSURANCE
CHAPTER 21TRADE PRACTICES
SUBCHAPTER AACONSUMER CHOICE HEALTH BENEFIT PLANS
DIVISION 4ADDITIONAL REQUIREMENTS
RULE §21.3543Required Plan Filings
Historical Texas Register

A health carrier shall:

  (1) file the consumer choice health benefit plan with the Filings and Operations Division in accordance with:

    (A) the Insurance Code Chapter 1271 and Chapter 11 of this title (relating to Health Maintenance Organizations) including the filing fee requirements; and

    (B) the Insurance Code Chapter 1701 and Chapter 3, Subchapter A of this title (relating to Requirements for Filing of Policy Forms, Riders, Amendments, Endorsements for Life, Accident, and Health Insurance and Annuities) including the filing fee requirements.

  (2) include with the filing of a consumer choice health benefit plan:

    (A) the disclosures required by §21.3530 of this subchapter (relating to Health Carrier Disclosure);

    (B) a statement of the reduction in premium resulting from the differences in coverage and design between the consumer choice health benefit plan and an identical plan providing all state-mandated health benefits;

    (C) certification of compliance with §21.3542 of this subchapter (relating to Offer of State-Mandated Plan); and

    (D) for informational purposes, the rates to be used with a consumer choice health benefit plan.


Source Note: The provisions of this §21.3543 adopted to be effective June 2, 2004, 29 TexReg 5101; amended to be effective October 4, 2009, 34 TexReg 6645

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