| (79) Insurance Code Chapter 1366, concerning Benefits
Related to Fertility and Childbirth;
(80) Insurance Code Chapter 1367, concerning Coverage
of Children;
(81) Insurance Code Chapter 1368, concerning Availability
of Chemical Dependency Coverage;
(82) Insurance Code Chapter 1369, concerning Benefits
Related to Prescription Drugs and Devices and Related Services;
(83) Insurance Code Chapter 1370, concerning Certain
Tests for Detection of Human Papillomavirus, Ovarian Cancer, and Cervical
Cancer;
(84) Insurance Code Chapter 1371, concerning Coverage
for Certain Prosthetic Devices, Orthotic Devices, and Related Services;
(85) Insurance Code Chapter 1376, concerning Certain
Tests for Early Detection of Cardiovascular Disease;
(86) Insurance Code Chapter 1377, concerning Coverage
for Certain Amino Acid-Based Elemental Formulas;
(87) Insurance Code Chapter 1379, concerning Coverage
for Routine Patient Care Costs for Enrollees Participating in Certain
Medical Trials;
(88) Insurance Code Chapter 1451, concerning Access
to Certain Practitioners and Facilities;
(89) Insurance Code Chapter 1453, concerning Disclosure
of Reimbursement Guidelines under Managed Care Plan;
(90) Insurance Code Chapter 1454, concerning Equal
Health Care for Women;
(91) Insurance Code Chapter 1455, concerning Telemedicine
and Telehealth;
(92) Insurance Code Chapter 1456, concerning Disclosure
of Provider Status;
(93) Insurance Code Chapter 1460, concerning Standards
Required Regarding Certain Physician Rankings by Health Benefit Plans;
(94) Insurance Code Chapter 1467, concerning Out-of-Network
Claim Dispute Resolution;
(95) Insurance Code Chapter 1501, Subchapter A, concerning
General Provisions;
(96) Insurance Code Chapter 1501, Subchapter C, concerning
Provision of Coverage;
(97) Insurance Code Chapter 1501, Subchapter M, concerning
Large Employer Health Benefit Plans;
(98) Insurance Code Chapter 1502, concerning Health
Benefit Plans for Children;
(99) Insurance Code Chapter 1503, concerning Coverage
of Certain Students;
(100) Insurance Code Chapter 1504, concerning Medical
Child Support;
(101) Insurance Code Chapter 1507, Subchapter A, concerning
Consumer Choice of Benefits Health Insurance Plans;
(102) Insurance Code Chapter 1653, concerning High
Deductible Health Plan;
(103) Insurance Code Chapter 1661, concerning Information
Technology;
(104) Insurance Code Chapter 1701, concerning Policy
Forms;
(105) Insurance Code Chapter 4201, concerning Utilization
Review Agents; and
(106) Insurance Code Chapter 4202, concerning Independent
Review Organizations.
(b) Approved PEO as insurer; client as policyholder.
For purposes of applying provisions addressing refunds of unearned
premiums in Insurance Code Chapter 558, an approved PEO is the equivalent
of an insurer, and the approved PEO's client is the equivalent of
a policyholder.
(c) Client as plan sponsor. For purposes of applying
Insurance Code Chapter 1215, a client is the equivalent of a plan
sponsor as defined by Insurance Code §1215.001, concerning Definitions.
(d) Approved PEO as insurer and employer. For purposes
of applying Insurance Code Chapter 1251, Subchapters E, F, and G,
an approved PEO is the equivalent of both an insurer and an employer.
(e) Approved PEO as insurer; client as group policyholder.
For purposes of applying Insurance Code §1301.0061, an approved
PEO is the equivalent of an insurer, and the approved PEO's client
is the equivalent of a group policyholder.
(f) Approved PEO as employer. For purposes of applying
provisions addressing required offers of coverage in Insurance Code
Title 8, Subtitle E, concerning Benefits Payable under Health Coverages,
an approved PEO is the equivalent of an employer entitled to elect
or decline an offer of coverage required by the Insurance Code.
(g) Approved PEO as carrier; client as policyholder.
For purposes of applying Insurance Code Chapter 1501, Subchapter A,
an approved PEO is the equivalent of a health insurance carrier, and
the approved PEO's client is the equivalent of a policyholder.
(h) Approved PEO as large employer issuer; client as
employer. For purposes of applying Insurance Code Chapter 1501, Subchapter
C, an approved PEO is the equivalent of a large employer health benefit
plan issuer, and the approved PEO's client is the equivalent of an
employer.
(i) Approved PEO as issuer; client as group contract
holder. For purposes of applying provisions in Insurance Code Chapter
1365 addressing required offers of coverage, an approved PEO is the
equivalent of a group health benefit plan issuer, and the approved
PEO's client is the equivalent of a group contract holder.
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