<<Prev Rule

Texas Administrative Code

Next Rule>>
TITLE 28INSURANCE
PART 1TEXAS DEPARTMENT OF INSURANCE
CHAPTER 3LIFE, ACCIDENT, AND HEALTH INSURANCE AND ANNUITIES
SUBCHAPTER SMINIMUM STANDARDS AND BENEFITS AND READABILITY FOR INDIVIDUAL ACCIDENT AND HEALTH INSURANCE POLICIES
RULE §3.3076Minimum Standards for Accident Only Coverage

"Accident only coverage" is a policy of accident insurance which provides coverage, singularly or in combination, for death, dismemberment, disability, or hospital and medical care caused by accident. Such coverage provided shall meet the following criteria.

  (1) Accidental death and double dismemberment amounts shall be at least $1,000.

  (2) Single dismemberment amounts shall be at least $500.

  (3) Accidental death and dismemberment benefits shall be payable if the loss occurs within a period of time not less than 90 days from the date of the accident, irrespective of total disability.

  (4) Specific dismemberment(s) benefit(s) may not be provided in lieu of other benefits unless the specific dismemberment(s) benefit(s) equals or exceeds the other benefit.

  (5) Disability income benefits, where provided, may not require the loss to commence less than 30 days after the date of accident nor shall any policy which the insurer cancels or refuses to renew require that it be in force at the time disability commences if the accident occurred while the policy was in force and the disability commenced within the time limit specified in the policy.


Source Note: The provisions of this §3.3076 adopted to be effective January 26, 1977, 2 TexReg 159.

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