28 Tex. Admin. Code § 3.501 - Purpose and Applicability
(a) The
purpose of this subchapter is to implement Insurance Code Chapter 1698,
concerning Rates for Certain Coverage, and to establish an effective rate
review program in the individual and small group markets, consistent with
45 CFR §
154.301, concerning CMS's Determinations of
Effective Rate Review Programs.
(b)
This subchapter applies to a plan that is subject to Insurance Code Chapter
1698.
(c) This subchapter does not
apply to:
(1) "short-term limited-duration
insurance" as defined in Insurance Code Chapter 1509, concerning Short-Term
Limited-Duration Insurance;
(2)
"grandfathered health plan coverage" as defined by
45 CFR §
147.140, concerning Preservation of Right to
Maintain Existing Coverage; or
(3)
individual limited scope plans, including but not limited to dental benefit
plans and vision benefit plans.
Notes
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