For purposes of this subchapter and for purposes of regulation
by TDI:
(1) PEO as large employer. An approved PEO is a large
employer as defined in Insurance Code Chapter 1501, concerning the
Health Insurance Portability and Availability Act, unless a provision
in this subchapter clearly indicates otherwise.
(2) PEO plan as large employer health benefit plan.
An approved PEO's plan is a large employer health benefit plan as
defined in Insurance Code Chapter 1501 unless a provision in this
subchapter clearly indicates otherwise.
(3) Provisions applicable to both small and large employer
plans. An Insurance Code or Administrative Code provision that refers
to both small and large employer health benefit plans or their issuers
applies to an approved PEO as a large employer health benefit plan
issuer and to its plan as a large employer health benefit plan unless
a provision in this subchapter clearly indicates otherwise.
(4) Plan document is group policy. An approved PEO's
plan document is a group policy unless a provision in this subchapter
clearly indicates otherwise.
(5) Certificate of coverage is certificate of insurance.
An approved PEO's certificate of coverage is a certificate of insurance.
An approved PEO's certificate of coverage must comply with ERISA,
29 U.S.C. §1022 (Summary plan description).
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