| (a) At the time of initial application, a regional or local health care program electing to participate in Healthy Texas shall obtain from small employers participating in its program written certification or information to ensure that the regional or local health care program can provide written certification to the health benefit plan issuer or to the commissioner, as applicable, that each employer meets the eligibility requirements of the Insurance Code §1508.051 and the minimum employer participation requirements of the Insurance Code §1508.053. (b) A regional or local health care program participating in the Healthy Texas Program under §26.534 of this division (relating to Participation Through Direct Purchase of Health Benefit Plan) shall, not later than the 90th day before the renewal date of the health benefit plan, provide the health benefit plan issuer a written certification that each employer continues to meet the eligibility requirements of the Insurance Code §1508.051 and the minimum employer participation requirements of the Insurance Code §1508.053. (c) A regional or local health care program participating in the Healthy Texas Program under §26.535 of this division (relating to Participation Through Eligible Regional or Local Health Care Program Implementation) shall, not later than the 90th day before the renewal date of the health services contract, provide the commissioner a written certification that each employer continues to meet the eligibility requirements of the Insurance Code §1508.051 and the minimum employer participation requirements of the Insurance Code §1508.053. (d) The health benefit plan issuer may require the submission of appropriate documentation to support a certification described by subsection (a) or (b) of this section. |
