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TITLE 28INSURANCE
PART 1TEXAS DEPARTMENT OF INSURANCE
CHAPTER 21TRADE PRACTICES
SUBCHAPTER KCERTIFICATION OF CREDITABLE COVERAGE
RULE §21.1110Form CCC
(a) Form CCC relating to Insurance Code §1205.002 and §1357.056 for certification and disclosure of coverage under a health benefit plan is included in subsection (b) of this section in its entirety and has been filed with the Office of the Secretary of State.

(b) Form CCC referenced in this subchapter is as follows.

Attached Graphic

Source Note: The provisions of this §21.1110 adopted to be effective December 22, 1997, 22 TexReg 12513; amended to be effective November 7, 2021, 46 TexReg 7408

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