Texas § 1508.252 OPERATION OF FUND; CLAIM ELIGIBILITY.

Texas Statutes

§ 1508.252 — OPERATION OF FUND; CLAIM ELIGIBILITY.

Texas § 1508.252

Code INInsurance Code

This text of Texas § 1508.252 (OPERATION OF FUND; CLAIM ELIGIBILITY.) 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. § 1508.252 (2026).

Text

Sec. 1508.252. OPERATION OF FUND; CLAIM ELIGIBILITY.

(a)A health benefit plan issuer is eligible to receive reimbursement in an amount that is equal to 80 percent of the dollar amount of claims paid between $5,000 and $75,000 in a calendar year for an enrollee in a qualifying health benefit plan.

(b)A health benefit plan issuer is eligible for reimbursement from the fund only for the calendar year in which claims are paid.

(c)Once the dollar amount of claims paid on behalf of a covered individual reaches or exceeds $75,000 in a given calendar year, a health benefit plan issuer may not receive reimbursement for any other claims paid on behalf of the individual in that calendar year.

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Sec. 1508.252. OPERATION OF FUND; CLAIM ELIGIBILITY. (a) A health benefit plan issuer is eligible to receive reimbursement in an amount that is equal to 80 percent of the dollar amount of claims paid between $5,000 and $75,000 in a calendar year for an enrollee in a qualifying health benefit plan.
(b) A health benefit plan issuer is eligible for reimbursement from the fund only for the calendar year in which claims are paid.
(c) Once the dollar amount of claims paid on behalf of a covered individual reaches or exceeds $75,000 in a given calendar year, a health benefit plan issuer may not receive reimbursement for any other claims paid on behalf of the individual in that calendar year.