Texas § 1367.103 COVERAGE REQUIRED.

Texas Statutes

§ 1367.103 — COVERAGE REQUIRED.

Texas § 1367.103

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Bluebook

Tex. Insurance Code Code Ann. § 1367.103 (2026).

Text

Sec. 1367.103. COVERAGE REQUIRED.

(a)A health benefit plan that provides coverage for a family member of an insured or enrollee shall provide to each covered child coverage for:

(1)a screening test for hearing loss from birth through the date the child is 30 days of age, as provided by Chapter 47 , Health and Safety Code; and

(2)necessary diagnostic follow-up care related to the screening test from birth through the date the child is 24 months of age.

(b)For purposes of Subsection (a), a covered child is a child who, as a result of the child's relationship to an insured or enrollee in a health benefit plan, would be entitled to coverage under an accident and health insurance policy under Section 1201.061 , 1201.062 , 1201.063 , or 1201.064 .

(c)This section does not require a health b

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Sec. 1367.103. COVERAGE REQUIRED. (a) A health benefit plan that provides coverage for a family member of an insured or enrollee shall provide to each covered child coverage for:
(1) a screening test for hearing loss from birth through the date the child is 30 days of age, as provided by Chapter 47 , Health and Safety Code; and
(2) necessary diagnostic follow-up care related to the screening test from birth through the date the child is 24 months of age.
(b) For purposes of Subsection (a), a covered child is a child who, as a result of the child's relationship to an insured or enrollee in a health benefit plan, would be entitled to coverage under an accident and health insurance policy under Section 1201.061 , 1201.062 , 1201.063 , or 1201.064 .
(c) This section does not require a health benefit plan to provide the coverage described by this section to a child of an individual residing in this state if the individual is:
(1) employed outside this state; and
(2) covered under a health benefit plan maintained for the individual by the individual's employer as an employment benefit.