28 Tex. Admin. Code § 21.3401 - Purpose and Scope
(a) Purpose of
subchapter. The purpose of this subchapter is to require certain health benefit
plan issuers to collect and report to the commissioner data on certain mandated
health benefits and mandated offers of coverage.
(b) Scope of subchapter. This subchapter
applies to a health benefit plan issuer that is subject to Insurance Code §
38.251 (concerning
Applicability), and that reports on its submission to the National Association
of Insurance Commissioners (NAIC), for the year for which it is reporting data,
a total of $10 million or more in direct premiums earned in Texas for
individual comprehensive health coverage, small group comprehensive health
coverage, or large group comprehensive health coverage.
(c) This subchapter does not apply to a
governmental plan as defined by
29
U.S.C. §
1002(32).
Notes
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