28 Tex. Admin. Code § 3.3073 - Minimum Standards for Hospital Confinement Indemnity Coverage
(a) "Hospital Confinement Indemnity Coverage"
is a policy of accident and sickness insurance which provides daily benefits
for hospital confinement on an indemnity basis in an amount not less than $15
per day or $100 per week and not less than 31 days during any "one period of
confinement" for each person insured under the policy. A one day or two day
elimination period may be used when "one period of confinement" is not less
than 31 days and not more than 364 days. A three day elimination period may be
used when "one period of confinement" is 365 days or more. If a hospital
confinement policy, whether styled as an indemnity policy or however styled,
includes confinement for pregnancy within the scope of its coverage, then the
minimum benefits payable for each covered pregnancy shall be the insured loss
or expense up to an amount no less than 10 times the minimum daily benefit of
the policy.
(b) Hospital
confinement indemnity coverage is not required to be guaranteed renewable in
accordance with §
3.3020 of this title (relating to
Policy Definition of Guaranteed Renewable and Limited Guarantee of
Renewability) and §
3.3038 of this title (relating to
Mandatory Guaranteed Renewability Provisions for Individual Hospital, Medical
or Surgical Coverage; Exceptions) of this subchapter, provided that it meets
the criteria for "excepted benefits" defined in relation to such coverage in §
3.3002(b)(6)(B)(ii)
of this title (relating to
Definitions).
Notes
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