Texas § 1204.252 PRECONDITIONS FOR PAYMENT; EXCEPTIONS.

Texas Statutes

§ 1204.252 — PRECONDITIONS FOR PAYMENT; EXCEPTIONS.

Texas § 1204.252

Code INInsurance Code

This text of Texas § 1204.252 (PRECONDITIONS FOR PAYMENT; EXCEPTIONS.) is published on Counsel Stack Legal Research, covering Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Tex. Insurance Code Code Ann. § 1204.252 (2026).

Text

Sec. 1204.252. PRECONDITIONS FOR PAYMENT; EXCEPTIONS.

(a)In accordance with the terms of the policy and this subchapter, an insurer or group hospital service corporation may be required to pay benefits under a group accident and health insurance policy to a person who is not a group member and who complies with:

(1)Section 1204.251 ;

(2)the insurer's or group hospital service corporation's claim application procedures; and

(3)department rules.

(b)Any requirement imposed on a possessory or managing conservator of a child under this subchapter does not apply with regard to:

(1)an unpaid medical bill for which an assignment of benefits has been exercised, whether in accordance with policy provisions or otherwise; or

(2)a claim presented by a group member for which the group member paid

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Sec. 1204.252. PRECONDITIONS FOR PAYMENT; EXCEPTIONS. (a) In accordance with the terms of the policy and this subchapter, an insurer or group hospital service corporation may be required to pay benefits under a group accident and health insurance policy to a person who is not a group member and who complies with:
(1) Section 1204.251 ;
(2) the insurer's or group hospital service corporation's claim application procedures; and
(3) department rules.
(b) Any requirement imposed on a possessory or managing conservator of a child under this subchapter does not apply with regard to:
(1) an unpaid medical bill for which an assignment of benefits has been exercised, whether in accordance with policy provisions or otherwise; or
(2) a claim presented by a group member for which the group member paid any portion of a medical bill that is covered under the policy's terms.