Texas Insurance Code 1367.206 – Prohibited Actions
Current as of: 2024 | Check for updates
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Under the coverage required to be offered under this subchapter, a health benefit plan issuer may not:
(1) apply the cost of rehabilitative and habilitative therapies described by § 1367.205(a) to an annual or lifetime maximum plan benefit or similar provision under the plan; or
(2) use the cost of rehabilitative or habilitative therapies described by § 1367.205(a) as the sole justification for:
(A) increasing plan premiums; or
(B) terminating the insured’s or enrollee’s participation in the plan.