Subtitle A. Health Coverage In General

Chapter 1201. Accident and Health Insurance

• Subchapter A. General Provisions
• Subchapter B. Policy Terms
• Subchapter C. General Policy Standards and Provisions
• Subchapter D. Preexisting Conditions
• Subchapter E. Required Policy Provisions
• Subchapter F. Application For Policy
• Subchapter O. Enforcement

Chapter 1202. Cancellation and Continuation of Policies In General

• Subchapter A. Continuous Policies
• Subchapter B. Individual Health Insurance Policies

Chapter 1202a. [Expired] Temporary Extension of Election Period For Continuation of Certain Coverage

• Tex. Ins. Code § 1202A.001, 1202A.002 [Expired]

Chapter 1203. Coordination of Benefits Provisions

• Subchapter A. Supplemental Insurance Policies
• Subchapter B. Dental Insurance
• Subchapter C. Vision and Eye Care Benefits

Chapter 1204. Procedures For Payment of Certain Health and Accident Insurance Policy Or Plan Benefits

• Subchapter A. Payments to Certain Public Hospitals
• Subchapter B. Assignment of Benefit Payments
• Subchapter C. Uniform Claim Billing Forms
• Subchapter D. Payments For Certain Publicly Provided Services
• Subchapter E. Exclusionary Clauses
• Subchapter F. Payment of Benefits to Conservator of Minor

Chapter 1205. Certification of Creditable Coverage

• Tex. Ins. Code § 1205.001 Applicability of Chapter
• Tex. Ins. Code § 1205.002 Certification of Coverage
• Tex. Ins. Code § 1205.003 Rules
• Tex. Ins. Code § 1205.004 Creditable Coverage

Chapter 1206. Denial of Health Benefit Plan Enrollment Based On Existing Coverage Prohibited

• Tex. Ins. Code § 1206.001 Applicability of Chapter
• Tex. Ins. Code § 1206.002 Exception
• Tex. Ins. Code § 1206.003 Denial of Enrollment Prohibited
• Tex. Ins. Code § 1206.004 Violation of Chapter: Unfair Discrimination

Chapter 1207. Enrollment of Medical Assistance Recipients and Children Eligible For State Child Health Plan

• Tex. Ins. Code § 1207.001 Applicability of Chapter
• Tex. Ins. Code § 1207.002 Enrollment Required
• Tex. Ins. Code § 1207.003 Effective Date of Enrollment
• Tex. Ins. Code § 1207.004 Termination of Enrollment

Chapter 1208. Identity of Available Employee of Health Benefit Plan Issuer

• Tex. Ins. Code § 1208.001 Applicability of Chapter
• Tex. Ins. Code § 1208.002 Disclosure Required

Chapter 1210. Notice of Certain Policy Provisions

• Tex. Ins. Code § 1210.001 Notice Required

Chapter 1211. Waivers Regarding Certain Federal Health Plans

• Tex. Ins. Code § 1211.001 Waiver of Certain Provisions For Certain Federal Plans

Chapter 1213. Electronic Health Care Transactions

• Tex. Ins. Code § 1213.001 Definition of Health Benefit Plan
• Tex. Ins. Code § 1213.002 Electronic Submission of Claims
• Tex. Ins. Code § 1213.003 Electronic Submission of Claims: Waiver
• Tex. Ins. Code § 1213.004 Mode of Transmission
• Tex. Ins. Code § 1213.005 Certain Charges Prohibited
• Tex. Ins. Code § 1213.006 Rules

Chapter 1214. Advertising For Certain Health Benefits

• Tex. Ins. Code § 1214.001 Applicability of Chapter
• Tex. Ins. Code § 1214.002 Exception
• Tex. Ins. Code § 1214.003 Rate Information Disclaimers

Chapter 1215. Reporting of Claims Information

• Tex. Ins. Code § 1215.001 Definitions
• Tex. Ins. Code § 1215.002 Applicability of Chapter to Governmental Entity; Applicability of Other Law With Reference to Governmental Entity
• Tex. Ins. Code § 1215.003 Receipt of and Response to Request For Claim Information
• Tex. Ins. Code § 1215.004 Request For Additional Information
• Tex. Ins. Code § 1215.005 Compliance With Chapter Does Not Create Liability
• Tex. Ins. Code § 1215.006 Administrative Penalties

Chapter 1216. Out-Of-Country Coverage Prohibited

• Tex. Ins. Code § 1216.001 Definitions
• Tex. Ins. Code § 1216.002 Applicability of Chapter
• Tex. Ins. Code § 1216.003 Exception
• Tex. Ins. Code § 1216.004 Out-Of-Country Care Prohibited

Chapter 1217. Standard Request Form For Prior Authorization of Health Care Services

• Tex. Ins. Code § 1217.001 Definitions
• Tex. Ins. Code § 1217.002 [Effective Until 4/1/2025] Applicability of Chapter
• Tex. Ins. Code § 1217.002 [Effective 4/1/2025] Applicability of Chapter
• Tex. Ins. Code § 1217.003 Exception
• Tex. Ins. Code § 1217.004 Standard Form
• Tex. Ins. Code § 1217.005 Advisory Committee On Uniform Prior Authorization Forms
• Tex. Ins. Code § 1217.006 Failure to Prescribe Standard Form
• Tex. Ins. Code § 1217.007 Construction With Other Law

Chapter 1218. Coverage For Elective Abortion; Prohibitions and Requirements

• Tex. Ins. Code § 1218.001 Definition
• Tex. Ins. Code § 1218.002 Applicability of Chapter
• Tex. Ins. Code § 1218.003 Certain Coverage Not Affected
• Tex. Ins. Code § 1218.004 Coverage By Health Benefit Plan
• Tex. Ins. Code § 1218.005 Calculation of Premium
• Tex. Ins. Code § 1218.006 Notice By Issuer

Chapter 1221. Employer Contributions to Individual Health Insurance Policies

• Tex. Ins. Code § 1221.001 Rules; Employer Contributions

Chapter 1222. Preauthorization For Medical Or Health Care Service

• Tex. Ins. Code § 1222.0001 Definitions
• Tex. Ins. Code § 1222.0002 [Effective Until 4/1/2025] Applicability of Chapter
• Tex. Ins. Code § 1222.0002 [Effective 4/1/2025] Applicability of Chapter
• Tex. Ins. Code § 1222.0003 Preauthorization Renewal Request
• Tex. Ins. Code § 1222.0004 Determination Required

Chapter 1223. Verification of Health Benefits

• Tex. Ins. Code § 1223.001 Applicability of Chapter
• Tex. Ins. Code § 1223.002 Internet Website For Verification Required For Emergency Physicians and Health Care Providers