28 Tex. Admin. Code § 3.50 - Filing Requirements for Health Plan Disclosures
A filing for any product for which an outline of coverage, written description of plan terms and conditions, or similar disclosure is required must include a copy of the required disclosure document for review or a reference to the filing ID that the disclosure document was separately filed under. The disclosure document must comply with the applicable requirements, including:
(1) for
individual accident and health coverage, the requirements in Subchapter S of
this chapter (relating to Minimum Standards and Benefits and Readability for
Individual Accident and Health Insurance Policies);
(2) for Medicare supplement coverage, the
requirements in §
3.3308 of this title (relating to
Required Disclosure Provisions);
(3) for short-term limited-duration coverage,
the requirements in §
3.3602 of this title (relating to
Requirements for Short-Term Limited-Duration Coverage);
(4) for a preferred or exclusive provider
plan, the requirements in §
3.3705 of this title (relating to
Nature of Communications with Insureds; Readability, Mandatory Disclosure
Requirements, and Plan Designations);
(5) for long-term-care coverage, the
requirements in §
3.3832 of this title (relating to
Outline of Coverage); or
(6) for an
HMO plan, the requirements in §
11.1600 of this title (relating to
Information to Prospective and Current Contract Holders and
Enrollees).
Notes
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