| (a) At the time of an event described in §3.3312(b)
of this title (relating to Guaranteed Issue for Eligible Persons)
that causes an individual to lose coverage or benefits due to the
termination of a contract, agreement, policy, or plan, the entity,
as defined in §3.3312 of this title, must:
(1) notify the individual of his or her rights under §3.3312(a),
(c), (d), and (e) of this title, and the obligations of issuers of
Medicare supplement policies under §3.3312(a) of this title;
and
(2) communicate this notice at the same time as the
notification of termination.
(b) At the time of an event described in §3.3312(b)
of this title that causes an individual to cease enrollment under
a contract, agreement, policy, or plan, the entity, as defined in §3.3312
of this title, that offers the contract or agreement, regardless of
the basis for the cessation of enrollment or the licensed third-party
administrator of the plan, must:
(1) notify the individual of his or her rights under §3.3312(a),
(c), (d), and (e) of this title, and of the obligations of issuers
of Medicare supplement policies under §3.3312(a) of this title;
and
(2) communicate this notice within 10 working days
of the entity's receipt of notification of disenrollment.
(c) The notices must be printed in no less than 10-point
type.
|
| Source Note: The provisions of this §21.2107 adopted to be effective April 14, 1999, 24 TexReg 3356; amended to be effective February 19, 2001, 26 TexReg 1547; amended to be effective April 4, 2002, 27 TexReg 2507; amended to be effective November 2, 2016, 41 TexReg 8609 |
