Texas Insurance Code
§ 846.004 — LATE-PARTICIPATING EMPLOYEE OR DEPENDENT
IN § 846.004Title 6. ORGANIZATION OF INSURERS AND RELATED ENTITIES · Part C. LIFE, HEALTH, AND ACCIDENT INSURERS AND RELATED ENTITIES · Ch. 846. MULTIPLE EMPLOYER WELFARE ARRANGEMENTS · Art. A. GENERAL PROVISIONS
Statute text
View on source(a)For purposes of this chapter, an employee or dependent eligible for enrollment in a participating employer's health benefit plan is a late-participating employee or dependent if the individual requests enrollment after the expiration of:
(1)the initial enrollment period established under the terms of the first health benefit plan for which that employee or dependent was eligible through the participating employer; or
(2)an open enrollment period under Section 846.257.
(b)An employee or dependent is not a late-participating employee or dependent if the individual:
(1)was covered under another health benefit plan or self-funded employer health benefit plan at the time the individual was eligible to enroll;
(2)declined enrollment in writing, at the time of the initial eligibility for enrollment, stating that coverage under another health benefit plan or self-funded employer health benefit plan was the reason for declining enrollment;
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Legislative history
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.