Texas § 1252.003 COVERAGE ISSUED ON GROUP-TYPE BASIS.

Texas Statutes

§ 1252.003 — COVERAGE ISSUED ON GROUP-TYPE BASIS.

Texas § 1252.003

Code INInsurance Code

This text of Texas § 1252.003 (COVERAGE ISSUED ON GROUP-TYPE BASIS.) 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. § 1252.003 (2026).

Text

Sec. 1252.003. COVERAGE ISSUED ON GROUP-TYPE BASIS.

(a)For purposes of this chapter, health benefit plan coverage is provided on a group-type basis if:

(1)the plan provides coverage under an insurance policy or subscriber contract to a class of employees or a class of members of a labor union or members of an association and the class is determined by conditions relating to their employment or to their membership in the union or association;

(2)coverage under the plan is not available to the general public and can be obtained and maintained only because of the covered individual's employment status or membership in a labor union or an association;

(3)premiums or subscription charges for the plan are paid to the carrier on an aggregate or bulk-payment basis; and

(4)the plan is sponsore

Free access — add to your briefcase to read the full text and ask questions with AI

Sec. 1252.003. COVERAGE ISSUED ON GROUP-TYPE BASIS. (a) For purposes of this chapter, health benefit plan coverage is provided on a group-type basis if:
(1) the plan provides coverage under an insurance policy or subscriber contract to a class of employees or a class of members of a labor union or members of an association and the class is determined by conditions relating to their employment or to their membership in the union or association;
(2) coverage under the plan is not available to the general public and can be obtained and maintained only because of the covered individual's employment status or membership in a labor union or an association;
(3) premiums or subscription charges for the plan are paid to the carrier on an aggregate or bulk-payment basis; and
(4) the plan is sponsored by:
(A) the employer of the class of employees covered by the plan; or
(B) the labor union or an association to which the class of members covered by the plan belongs.
(b) Health benefit plan coverage is not provided on a group-type basis if it is a salary-budget plan using individual insurance policies or subscriber contracts that do not meet the conditions for group-type coverage specified by Subsection (a).
SUBCHAPTER B. DISCONTINUATION OF COVERAGE