<<Prev Rule

Texas Administrative Code

Next Rule>>
TITLE 28INSURANCE
PART 1TEXAS DEPARTMENT OF INSURANCE
CHAPTER 11HEALTH MAINTENANCE ORGANIZATIONS
SUBCHAPTER WSINGLE SERVICE HMOS
RULE §11.2205Prohibited Practices

(a) Under an individual plan, a single service HMO may not limit or otherwise interfere with an enrollee's right to terminate his or her membership in the plan before the end of the enrollment year.

(b) A single service HMO may not limit coverage for emergency services under a single health care service plan.

(c) A single service HMO may not charge an emergency fee in addition to a copayment for emergency services.


Source Note: The provisions of this §11.2205 adopted to be effective August 1, 2017, 42 TexReg 2169

Link to Texas Secretary of State Home Page | link to Texas Register home page | link to Texas Administrative Code home page | link to Open Meetings home page