Texas Insurance Code 1501.156 – Employee Enrollment; Waiting Period
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(a) The initial enrollment period under a small employer health benefit plan for employees and dependents must be at least 31 days, with a 31-day open enrollment period provided annually.
(b) A small employer may establish a waiting period not to exceed 90 days from the first day of employment.
(c) A small employer health benefit plan issuer may not deny coverage to a new employee of a covered small employer or the employee’s dependents if the issuer receives an application for coverage not later than the 31st day after the date employment begins or on completion of a waiting period established under Subsection (b).
(d) A small employer health benefit plan issuer may deny coverage to a late enrollee until the next annual open enrollment period and may subject the enrollee to a one-year preexisting condition provision as described by Section 1501.102. The period during which the preexisting condition provision applies may not exceed 18 months from the date of the initial application.