Texas Administrative Code

Texas Administrative Code

TITLE 28	INSURANCE
PART 1	TEXAS DEPARTMENT OF INSURANCE
CHAPTER 26	EMPLOYER-RELATED HEALTH BENEFIT PLAN REGULATIONS
SUBCHAPTER A	DEFINITIONS, SEVERABILITY, AND SMALL EMPLOYER HEALTH REGULATIONS
RULE §26.12	Disclosure

In connection with the offering for sale of any small employer health benefit plan, each small employer carrier and each agent must make a reasonable disclosure, as part of its solicitation and sales material, of:

(1) the extent to which premium rates for a specific small employer are established or adjusted based on the actual or expected variation in claim costs or the actual or expected variation in health status of the employees of the small employer and their dependents;

(2) provisions concerning the small employer carrier's right to change premium rates and the factors other than claim experience that affect changes in premium rates;

(3) provisions relating to renewability of policies and contracts; and

(4) any preexisting condition provision or affiliation period.

Source Note: The provisions of this §26.12 adopted to be effective December 30, 1993, 18 TexReg 9375; amended to be effective March 5, 1998, 23 TexReg 2297 ; amended to be effective May 17, 2017, 42 TexReg 2539