SECTION 3.4102. Coverage Which May Be Exempted

The following classes of insurance coverage may be exempted:

(1) group life or accident or health insurance coverage delivered or issued for delivery to the groups authorized by Insurance Code §§1131.051, 1131.052, 1251.051, and 1251.052, insofar as it applies to a labor union as group policyholder if the coverage conforms to the following:

(A) it is a result of a collective bargaining agreement between a labor organization and an employer;

(B) it is required by the collective bargaining agreement to go into effect within 60 days of the final agreement;

(C) it is the subject of aggressive and knowledgeable bargaining in a fully arms-length fashion on the part of the policyholder; and

(D) due to the economic posture of the parties involved, it is impracticable to obtain prior approval before the policy is issued and delivered;

(2) group life or accident or health insurance coverage delivered or issued for delivery to the groups authorized by Insurance Code §1131.060 and §1251.052, if the coverage conforms to the following:

(A) it is the result of extensive bargaining over the benefits to be afforded and the rates to be charged;

(B) it is required by the policyholder to go into effect within 60 days of the final agreement between the parties;

(C) it is the subject of aggressive and knowledgeable bargaining in a fully arms-length fashion on the part of the policyholder; and

(D) due to the economic posture of the parties involved, it is impracticable to obtain prior approval before the policy is issued and delivered.

Source Note: The provisions of this §3.4102 adopted to be effective September 13, 1982, 7 TexReg 3145; amended to be effective May 11, 2022, 47 TexReg 2758