TITLE insurance

Part 1. TEXAS DEPARTMENT OF INSURANCE

Chapter 21. TRADE PRACTICES

Subchapter O. NOTICE OF AVAILABILITY OF COVERAGE UNDER THE TEXAS HEALTH INSURANCE RISK POOL

28 TAC §§21.2302 - 21.2306

The Commissioner of Insurance adopts amendments to §§21.2302 - 21.2306 concerning notice of availability of coverage under the Texas Health Insurance Risk Pool (Health Pool). Section 21.2305 is adopted with changes to the proposed text as published in the November 19, 1999, issue of the Texas Register (24 TexReg 10270). Sections 21.2302 - 21.2304 and 21.2306 are adopted without changes and will not be republished.

The amendments are necessary to implement House Bills 1097 and 1924 enacted during the 76th Legislative Session, 1999, which modify the definitions and notice requirements regarding the mandatory and permissive Health Pool notice provisions. Both bills amend Chapter 3, Subchapter G, Article 3.77 of the Texas Insurance Code. House Bill 1097 amended §10(a), Article 3.77 of the Insurance Code by adding a new provision for Health Pool eligibility. House Bill 1924 amended §2(7) by increasing the types of coverage that do not meet the definition of "Health Insurance" under the article. This bill also amended Article 3.77 by adding §16 which allows a health carrier to provide notification to its covered individuals regarding the existence of coverage available through the Health Pool. The amendments to the rules modify the definitions, notice requirements, and form used for notification of an individual's eligibility in the Health Pool.

The amendments to §21.2302 modify the definition of "health coverage" by adding "substantially similar health coverage" to the term being defined, by clarifying that the definition is applicable only to individual coverage, and by expanding the types of coverage that do not fall under the definition. Also, a definition for a "covered individual" is added. The amendments to §21.2303 clarify instances when a health carrier is required to provide written notice of Health Pool availability to an eligible individual who has applied for health coverage from the health carrier. This section also adds a new permissive notice provision which allows a health carrier to provide its covered individuals with information about the Health Pool.

The amendments to §21.2304 reflect changes in the criteria used to determine eligibility for Health Pool coverage for the mandatory Health Pool notice provisions. Furthermore, the amendments describe the Health Pool Notice Form provided in §21.2305, or its substitute notice provisions, that the health carrier should use when providing either the mandatory or permissive notice.

The amendments to §21.2305 modify the Health Pool Notice Form. The changes in this section are necessary to comply with legislative amendments concerning eligibility for Health Pool coverage. The department corrected the address of the Risk Pool in this section based on public comment. The amendments to §21.2306 explain the different application dates that pertain to the sections.

Comment: A commenter pointed out that the address of the Texas Health Insurance Risk Pool in §21.2305(b), Figure 1 is incorrect.

Agency Response: The department agrees and has changed the address.

For with changes: Texas Health Insurance Risk Pool.

Against: None.

The amendments are adopted under the Insurance Code, Article 3.77 and §36.001 (former Article 1.03A). Article 3.77 §8 provides that the commissioner may adopt rules as are necessary and proper to implement the article. Article 3.77 §16(b) states that an insurer providing notice under §16(a) shall provide such notice as prescribed by the commissioner and that the commissioner may promulgate rules to implement this section. Section 36.001 provides that the Commissioner of Insurance may adopt rules necessary for the conduct and execution of the duties and functions of the Texas Department of Insurance only as authorized by statute.

§21.2305. Form.

(a)

Form Health Pool Notice is included in subsection (b) of this section in its entirety and has been filed with the Office of the Secretary of State. The address and phone numbers are variable to encompass any future changes. The form can be obtained from the Texas Department of Insurance, Life/Health Division, MC 106-1A, P.O. Box 149104, Austin, Texas 78714-9014.

(b)

Form Health Pool Notice, Figure 1:

Figure: 28 TAC §21.2305(b)

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on January 3, 2000.

TRD-200000002

Lynda Nesenholtz

General Counsel and Chief Clerk

Texs Department of Insurance

Effective date: January 23, 2000

Proposal publication date: November 19, 2000

For further information, please call: (512) 463-6327