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Texas Administrative Code (Last Updated: March 27,2024) |
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TITLE 28. INSURANCE |
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PART 1. TEXAS DEPARTMENT OF INSURANCE |
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CHAPTER 13. MISCELLANEOUS INSURERS AND OTHER REGULATED ENTITIES |
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SUBCHAPTER F. PROFESSIONAL EMPLOYER ORGANIZATIONS SPONSORING SELF-FUNDED EMPLOYEE HEALTH BENEFIT PLANS |
SUBCHAPTER F. PROFESSIONAL EMPLOYER ORGANIZATIONS SPONSORING SELF-FUNDED EMPLOYEE HEALTH BENEFIT PLANS
| DIVISION 1. PURPOSE AND DEFINITIONS |
| § 13.510. Purpose |
| § 13.511. Regulated PEOs; Approval Required |
| § 13.512. ERISA's Applicability; Severability of Subchapter's Provisions |
| § 13.513. Definitions |
| DIVISION 2. APPLICABILITY OF INSURANCE CODE AND ADMINISTRATIVE CODE PROVISIONS |
| § 13.520. Applicability of Insurance Code Provisions to an Approved PEO, Plan, or Trust |
| § 13.521. Applicable Insurance Code and Administrative Code Terms |
| § 13.522. Delegation of Functions to a Contracting Regulated Entity |
| § 13.523. Applicable Insurance Code Provisions |
| § 13.524. Applicability of Administrative Code Provisions to an Approved PEO, Plan, or Trust |
| DIVISION 3. CERTIFICATE OF APPROVAL |
| § 13.530. Certificate of Approval Required |
| § 13.531. Forms and Fees |
| § 13.532. Application Requirements |
| § 13.533. Actuarial Opinion Requirements |
| § 13.534. Application Review, Approval, and Denial |
| DIVISION 4. CONDUCT OF APPROVED PEO |
| § 13.540. Governance and Operation of Approved PEO |
| § 13.541. Stop-Loss Insurance |
| § 13.542. PEO's Fidelity Coverage |
| § 13.543. Approved PEO's Conduct with Respect to the Plan and Trust |
| § 13.544. Marketing Materials; Offers of Enrollment |
| § 13.545. Representations to Clients and Participants |
| DIVISION 5. FORMATION, GOVERNANCE, AND OPERATION OF PLAN AND TRUST |
| § 13.550. Plan Formation |
| § 13.551. Trust Formation |
| § 13.552. Required Filings |
| § 13.553. Plan and Trust Governance and Operation |
| § 13.554. Board of Trustees |
| § 13.555. Trustees' Responsibility and Authority |
| § 13.556. Protection of Plan and Trust Assets |
| § 13.557. Disputes Arising Under the Plan or Trust |
| DIVISION 6. FINANCIAL SOLVENCY REQUIREMENTS FOR PEO PLANS |
| § 13.560. Annual and Quarterly Reserves |
| § 13.561. Authorized Investments |
| § 13.562. Deposit or Letter of Credit Required |
| § 13.563. Form of Deposit |
| § 13.564. Annual Recalculation; Changes to Deposit |
| § 13.565. Letter of Credit |
| § 13.566. Annual Recalculation; Changes to Letter of Credit |
| § 13.567. Stop-Loss Insurance |
| § 13.568. Standards for Fidelity Coverage |
| DIVISION 7. QUARTERLY AND ANNUAL FILINGS; EXAMINATIONS; HAZARDOUS CONDITIONS |
| § 13.570. Financial Filing Requirements |
| § 13.571. Annual Fee |
| § 13.572. Examination of Approved PEO, Plan, and Trust |
| § 13.573. Hazardous Condition; Violations of Statute |
| DIVISION 8. MARKET EXIT |
| § 13.580. Withdrawal from Market |
| § 13.581. Limitation, Suspension, or Cancellation of Certificate of Approval in Response to TDLR Action |
| § 13.582. Limitation, Suspension, or Cancellation of Certificate of Approval in Response to TDI Action |
| § 13.583. Cancellation of Certificate of Approval |