| (a) A health group cooperative may engage in marketing
activities related and restricted to membership in the cooperative,
including general availability of health coverage, and is not required
to maintain an agent's license for soliciting membership in the cooperative.
All health coverage issued through the cooperative must be issued
through a licensed agent that is employed by or contracted with the
cooperative.
(b) A sponsoring entity of a health group cooperative
may inform its members regarding the health group cooperative and
the general availability of coverage through the health group cooperative.
All coverage issued through the cooperative must be issued through
a licensed agent.
(c) A licensed agent that is used and compensated by
a health group cooperative is not required to be appointed by a health
carrier offering coverage through the health group cooperative. This
exemption does not allow an agent to market other products and services
not offered through the health group cooperative without an appointment
from the health carrier.
(d) A health group cooperative or a member of the board
of directors, the executive director, an employee, or an agent of
a health group cooperative is not liable for failure to arrange for
coverage of any particular illness, disease, or health condition in
arranging for coverage through the cooperative.
(e) A health group cooperative may offer other ancillary
products and services to its members that are customarily offered
in conjunction with health benefit plans.
|
| Source Note: The provisions of this §26.403 adopted to be effective August 31, 2004, 29 TexReg 8360; amended to be effective January 31, 2006, 31 TexReg 512; amended to be effective May 17, 2017, 42 TexReg 2539 |
