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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 3. LIFE, ACCIDENT, AND HEALTH INSURANCE AND ANNUITIES |
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SUBCHAPTER S. MINIMUM STANDARDS AND BENEFITS AND READABILITY FOR INDIVIDUAL ACCIDENT AND HEALTH INSURANCE POLICIES |
SUBCHAPTER S. MINIMUM STANDARDS AND BENEFITS AND READABILITY FOR INDIVIDUAL ACCIDENT AND HEALTH INSURANCE POLICIES
| § 3.3001. Applicability and Scope |
| § 3.3002. Definitions |
| § 3.3005. Definitions in Policies |
| § 3.3006. Policy Definition of Hospital |
| § 3.3007. Policy Definition of Convalescent Nursing Home or Extended Care Facility |
| § 3.3008. Policy Definitions of Accident, Accidental Injury, Injury |
| § 3.3009. Policy Definitions of Sickness |
| § 3.3010. Policy Definition of Physician |
| § 3.3011. Policy Definition of Nurse |
| § 3.3012. Policy Definition of Total Disability |
| § 3.3013. Policy Definition of Partial Disability |
| § 3.3014. Policy Definition of Residual Disability |
| § 3.3015. Policy Definition of Medicare |
| § 3.3016. Policy Definition of Mental or Nervous Disorders |
| § 3.3017. Policy Definition of One Period of Confinement--Continuous Hospital Confinement |
| § 3.3018. Policy Definition of Preexisting Condition |
| § 3.3019. Policy Definition of Noncancellable |
| § 3.3020. Policy Definition of Guaranteed Renewable and Limited Guarantee of Renewability |
| § 3.3021. Policy Definition of Complication of Pregnancy |
| § 3.3038. Mandatory Guaranteed Renewability Provisions for Individual Hospital, Medical or Surgical Coverage; Exceptions |
| § 3.3039. Other Mandatory Policy Provisions |
| § 3.3040. Prohibited Policy Provisions |
| § 3.3050. Standards for Renewability Provisions |
| § 3.3051. Initial and Subsequent Conditions of Eligibility Provision |
| § 3.3052. Standards for Termination of Insurance Provision |
| § 3.3054. Preexisting Conditions Provisions |
| § 3.3055. Standards for Probationary or Waiting Period Provision |
| § 3.3056. Standards for Limitations Provision |
| § 3.3057. Standards for Exceptions, Exclusions, and Reductions Provision |
| § 3.3058. Standards for Elimination Period Provision |
| § 3.3059. Standards for Recurrent Disabilities Provision |
| § 3.3060. Standards for Conversion Privileges Provision |
| § 3.3061. Standards for Requirements for Replacement Provision |
| § 3.3062. Conditional Receipts |
| § 3.3070. Minimum Standards for Benefits Generally |
| § 3.3071. Minimum Standards for Basic Hospital Expense Coverage |
| § 3.3072. Minimum Standards for Basic Medical-Surgical Expense Coverage |
| § 3.3073. Minimum Standards for Hospital Confinement Indemnity Coverage |
| § 3.3074. Minimum Standards for Major Medical Expense Coverage |
| § 3.3075. Minimum Standards for Disability Income Protection Coverage |
| § 3.3076. Minimum Standards for Accident Only Coverage |
| § 3.3077. Minimum Standards for Specified Disease and Specified Accident Coverage |
| § 3.3079. Minimum Standards for Limited Benefit Coverage |
| § 3.3080. Supplemental Coverage |
| § 3.3081. Nonconventional Coverage |
| § 3.3090. Outline of Coverage Generally |
| § 3.3091. Notice Requirements for Outline of Coverage of Limited Benefit, Supplemental and Non-conventional Coverages |
| § 3.3092. Format, Content, and Readability for Outline of Coverage |
| § 3.3093. Prescribed Outlines of Coverage |
| § 3.3100. Policy Readability Generally |
| § 3.3101. Organization of Policy Format for Readability |
| § 3.3102. Language Readability |
| § 3.3110. Effective Date; Applicability of Certain Provisions to Policies Deemed Continuous under Insurance Code |
| § 3.3111. Severability Clause |