SECTION 3.501. Purpose and Applicability

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(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.

Source Note: The provisions of this §3.501 adopted to be effective June 16, 2022, 47 TexReg 3467

                    
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