A health carrier must:
(1) file the consumer choice health benefit plan separate
from any state-mandated health benefit plan with the department in
accordance with:
(A) Insurance Code Chapter 1271 and Chapter 11 of this
title (relating to Health Maintenance Organizations) including the
filing fee requirements; and
(B) Insurance Code Chapter 1701 and Chapter 3, Subchapter
A of this title (relating to Requirements for Filing of Policy Forms,
Riders, Amendments, Endorsements for Life, Accident, and Health Insurance
and Annuities) including the filing fee requirements;
(2) before use, file for approval with the department
its disclosures required by §21.3530 of this title (relating
to Health Carrier Disclosure) and certification of compliance with §21.3542
of this title (relating to Offer of State-Mandated Plan); and
(3) file, for informational purposes, the rates to
be used with a consumer choice health benefit plan.
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| Source Note: The provisions of this §21.3543 adopted to be effective June 2, 2004, 29 TexReg 5101; amended to be effective October 4, 2009, 34 TexReg 6645; amended to be effective June 7, 2021, 46 TexReg 3538 |
