28 Tex. Admin. Code § 3.3079 - Minimum Standards for Limited Benefit Coverage
(a) Limited benefit coverage is a policy of
accident and sickness insurance providing the types of coverage set forth in §
3.3071 of this title (relating to
Minimum Standards for Basic Hospital Expense Coverage), §
3.3072 of this title (relating to
Minimum Standards for Basic Medical-Surgical Expense Coverage), and §
3.3075 of this title (relating to
Minimum Standards for Disability Income Protection Coverage), but the types
and/or amounts of benefits are less than those prescribed in such sections.
Such policies delivered or issued for delivery in this state in addition to
meeting all other applicable requirements of these sections must prominently
display at the top of the outline of coverage and on the face page of the
policy in no less than 14 point type the notice set out in §
3.3091 of this title (relating to
Notice Requirements for Outline of Coverage of Limited Benefit, Supplemental
and Nonconventional Coverages).
(b)
Any limited benefit basic hospital expense coverage or limited benefit basic
medical-surgical expense coverage offered pursuant to this section must 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, unless such insurance
constitutes short-term limited duration coverage, as defined in §
3.3002(b)(18) of
this title (relating to Definitions).
Notes
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