An outline of coverage in the following prescribed form and
drafted in accordance with the instructions set forth in §
3.3092 of this title (relating to
Format, Content, and Readability for Outline of Coverage) shall be issued in
connection with policies meeting the standards of §§
3.3071-3.3080 of this title (relating to
Minimum Standards and Benefits and Readability for Accident and Health
Insurance Policies). The items included in the outline of coverage shall appear
in the following prescribed sequence.
(1) Basic hospital expense coverage policies
shall be accompanied by an outline of coverage in the following form.
Attached
Graphic
(2)
Basic medical-surgical expense coverage policies shall be accompanied by an
outline of coverage in the following form.
Attached
Graphic
(3)
Hospital confinement indemnity coverage policies shall be accompanied by an
outline of coverage in the following form.
Attached
Graphic
(4)
Major medical expense coverage policies shall be accompanied by an outline of
coverage in the following form.
Attached
Graphic
(5)
Disability income protection coverage policies shall be accompanied by an
outline of coverage in the following form.
Attached
Graphic
(6)
Accident only coverage policies shall be accompanied by an outline of coverage
in the following form.
Attached
Graphic
(7)
Specified disease or specified accident coverage policies shall be accompanied
by an outline of coverage in either of the following forms as specified in
subparagraphs (A) or (B) of this paragraph, whichever is appropriate.
Attached
Graphic
(8)
Limited benefit coverage policies shall be accompanied by an outline of
coverage in the following form.
Attached
Graphic
(9)
Supplemental coverage policies shall be accompanied by an outline of coverage
in the following form.
Attached
Graphic
Notes
28
Tex. Admin. Code §
3.3093
The provisions of
this §3.3093 adopted to be effective January 26, 1977, 2 TexReg 159; amended to
be effective December 7, 1983, 8 TexReg
4858.
