28 Tex. Admin. Code § 3.408 - Mandatory Policy Provisions
(a) Each group
policy of accident and sickness insurance that is delivered, issued for
delivery, or renewed in Texas on or after January 1, 1988, including a policy
issued by a company subject to Insurance Code Chapter 842, must contain a
benefit provision which states, "All benefits paid on behalf of the child or
children under the policy must be paid to the Texas Health and Human Services
Commission" whenever:
(1) the Texas Health
and Human Services Commission is paying benefits under Human Resources Code
Chapter 31 or Chapter 32, i.e., financial and medical assistance service
programs administered pursuant to the Human Resources Code; and
(2) the parent who is covered by the group
policy has possession or access to the child pursuant to a court order, or is
not entitled to access or possession of the child and is required by the court
to pay child support.
(b) The insurer or group nonprofit hospital
service company must receive at its home office, written notice affixed to the
insurance claim that when the claim is first submitted, and the notice must
state that all benefits paid pursuant to this section must be paid directly to
the Texas Health and Human Services Commission.
(c) With respect to any policy forms approved
by the Texas Department of Insurance prior to the effective date of this
section, an insurer is authorized to achieve compliance with this section by
the use of endorsements or riders, provided such endorsements or riders are
approved by the Texas Department of Insurance as being in compliance with this
section and the provisions of the Insurance Code.
(d) All policies issued or renewed on and
after January 1, 1988, will be considered in compliance with this section if
they contain the language prescribed within subsection (a) of this
section.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.