Texas § 1501.104 AFFILIATION PERIOD.

Texas Statutes

§ 1501.104 — AFFILIATION PERIOD.

Texas § 1501.104

Code INInsurance Code

This text of Texas § 1501.104 (AFFILIATION PERIOD.) 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. § 1501.104 (2026).

Text

Sec. 1501.104. AFFILIATION PERIOD.

(a)In this section, "affiliation period" means a period that, under a small or large employer health benefit plan offered by a health maintenance organization, must expire before the coverage becomes effective.

(b)A health maintenance organization may impose an affiliation period if the period is applied uniformly without regard to any health status related factor. The affiliation period may not exceed:

(1)two months for an enrollee, other than a late enrollee; or

(2)90 days for a late enrollee.

(c)An affiliation period under a small or large employer health benefit plan must run concurrently with any applicable waiting period under the plan. A health maintenance organization must credit an affiliation period against any preexisting condition provisi

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Sec. 1501.104. AFFILIATION PERIOD. (a) In this section, "affiliation period" means a period that, under a small or large employer health benefit plan offered by a health maintenance organization, must expire before the coverage becomes effective.
(b) A health maintenance organization may impose an affiliation period if the period is applied uniformly without regard to any health status related factor. The affiliation period may not exceed:
(1) two months for an enrollee, other than a late enrollee; or
(2) 90 days for a late enrollee.
(c) An affiliation period under a small or large employer health benefit plan must run concurrently with any applicable waiting period under the plan. A health maintenance organization must credit an affiliation period against any preexisting condition provision period.
(d) During an affiliation period, a health maintenance organization:
(1) is not required to provide health care services or benefits to the participant or beneficiary; and
(2) may not charge a premium to the participant or beneficiary.
(e) A health maintenance organization may use an alternative method approved by the commissioner to address adverse selection.