28 Tex. Admin. Code § 3.3091 - Notice Requirements for Outline of Coverage of Limited Benefit, Supplemental and Non-Conventional Coverages

(a) The outline of coverage for policies that are approved under § 3.3079 of this title (relating to Minimum Standards for Limited Benefit Coverage) shall prominently display in no less than 14-point type that the policy is "limited benefit basic hospital expense coverage," "limited benefit basic medical-surgical expense coverage," or "limited benefit disability income protection coverage." The outline of coverage shall further state at the top of the page in capital letters the following: "THE POLICY DESCRIBED IN THIS OUTLINE PROVIDES LIMITED BENEFITS ONLY WHICH ARE LESS THAN THE MINIMUM STANDARD FOR BENEFITS FOR (STATE CATEGORY OF COVERAGE) AS PRESCRIBED BY THE INSURANCE REGULATORY AUTHORITY OF YOUR STATE."

(b) The outline of coverage for policies approved under § 3.3080 of this title (relating to Supplemental Coverage) shall prominently display at the top of the page in no less than 14-point type, in capital letters, the following: "THE POLICY DESCRIBED IN THIS OUTLINE PROVIDES SUPPLEMENTAL COVERAGE ISSUED ONLY TO SUPPLEMENT INSURANCE ALREADY IN FORCE."

(c) The outline of coverage for policies approved under § 3.3081 of this title (relating to Non-conventional Coverage) shall prominently display at the top of the page in no less that 14-point type, in capital letters, the following: "THE POLICY DESCRIBED IN THIS OUTLINE DOES NOT MEET THE MINIMUM STANDARDS FOR BENEFITS ESTABLISHED FOR BASIC CATEGORIES OF COVERAGE REQUIRED BY THE INSURANCE REGULATORY AUTHORITY OF YOUR STATE."

(d) When no prescribed outline of coverage is appropriate for the coverage provided by the policy, an outline of coverage most appropriate to the categories of coverage offered shall be used.

Notes

28 Tex. Admin. Code § 3.3091

The provisions of this §3.3091 adopted to be effective January 26, 1977, 2 TexReg 159; amended to be effective December 7, 1983, 8 TexReg 4858.