Texas Insurance Code 1575.501 – Expulsion for Fraud
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Terms Used In Texas Insurance Code 1575.501
- Dependent: A person dependent for support upon another.
- Trustee: A person or institution holding and administering property in trust.
After notice and hearing as provided by this subchapter, the trustee may expel from participation in the group program a retiree, dependent, surviving spouse, or surviving dependent child who:
(1) submits a fraudulent claim or application for coverage under the group program; or
(2) defrauds or attempts to defraud a health benefit plan offered under the group program.