Chapter 1201. ACCIDENT AND HEALTH INSURANCE  


Subchapter A. GENERAL PROVISIONS
§ 1201.001. DEFINITIONS
§ 1201.002. PURPOSE
§ 1201.003. APPLICABILITY OF CHAPTER
§ 1201.004. CONSTRUCTION OF CHAPTER
§ 1201.005. REFERENCES TO CHAPTER
§ 1201.006. RULEMAKING AUTHORITY
§ 1201.007. NOTICE AND HEARING
§ 1201.008. JUDICIAL REVIEW
§ 1201.009. NONCONFORMING POLICY
§ 1201.010. THIRD-PARTY OWNERSHIP OF POLICY
§ 1201.011. COVERAGE FOR PREMIUM PERIOD WITH LIMITATIONS BY AGE OR DATE; MISSTATEMENT OF AGE OF INSURED
§ 1201.012. DEFENSE OF CLAIM
§ 1201.013. PROGRAMS PROMOTING DISEASE PREVENTION, WELLNESS, AND HEALTH
Subchapter B. POLICY TERMS
§ 1201.051. ENTIRE CONSIDERATION
§ 1201.052. TIME OF EFFECTIVENESS AND TERMINATION
§ 1201.053. PERSONS INSURED
§ 1201.054. APPEARANCE OF TEXT
§ 1201.055. EXCEPTIONS AND REDUCTIONS OF INDEMNITY
§ 1201.056. FORM NUMBER
§ 1201.057. INCORPORATION OF OR REFERENCE TO OTHER DOCUMENTS
§ 1201.058. NOTIFICATION THAT POLICY IS RETURNABLE; EFFECT OF RETURN
§ 1201.059. TERMINATION OF COVERAGE BASED ON AGE OF CHILD IN INDIVIDUAL, BLANKET, OR GROUP POLICY
§ 1201.060. REQUIRED DEFINITION OF "EMERGENCY CARE" IN INDIVIDUAL OR GROUP POLICY
§ 1201.0601. REQUIRED DEFINITIONS: SPECIFIED DISEASE POLICY
§ 1201.061. COVERAGE FOR ADOPTED CHILD
§ 1201.062. COVERAGE FOR CERTAIN CHILDREN IN INDIVIDUAL OR GROUP POLICY OR IN PLAN OR PROGRAM
§ 1201.063. PROHIBITION OF CERTAIN CRITERIA RELATING TO CHILD'S COVERAGE IN INDIVIDUAL OR GROUP POLICY
§ 1201.064. COVERAGE FOR CHILD OF SPOUSE IN INDIVIDUAL OR GROUP POLICY
§ 1201.065. AGE AND SCHOOL ENROLLMENT ELIGIBILITY CRITERIA FOR DEPENDENT CHILDREN IN INDIVIDUAL OR GROUP POLICY; LATE ENROLLMENT
Subchapter C. GENERAL POLICY STANDARDS AND PROVISIONS
§ 1201.101. STANDARDS FOR POLICY PROVISIONS
§ 1201.102. PROHIBITION OF POLICY PROVISIONS
§ 1201.103. COMPLIANCE WITH MINIMUM STANDARDS FOR BENEFITS
§ 1201.104. MINIMUM STANDARDS FOR BENEFITS
§ 1201.105. MINIMUM STANDARDS FOR BENEFITS FOR LONG-TERM CARE IN INDIVIDUAL, GROUP, OR BLANKET POLICY
§ 1201.106. IDENTIFICATION OF POLICIES ACCORDING TO COVERAGE PROVIDED
§ 1201.107. OUTLINE OF COVERAGE REQUIRED
§ 1201.108. FORMAT AND CONTENT OF OUTLINE OF COVERAGE
§ 1201.109. NOTICE OF RATE INCREASE
Subchapter D. PREEXISTING CONDITIONS
§ 1201.151. COMPLIANCE WITH SUBCHAPTER; PROHIBITION OF DEFENSE
§ 1201.152. COVERAGE UNDER SIMPLIFIED APPLICATION FORM
§ 1201.153. COVERAGE FOR INDIVIDUALS AGE 65 OR OLDER
§ 1201.154. COVERAGE FOR CERTAIN PREVIOUSLY COVERED PERSONS
Subchapter E. REQUIRED POLICY PROVISIONS
§ 1201.201. POLICY PROVISIONS REQUIRED
§ 1201.202. ORDER OF REQUIRED POLICY PROVISIONS
§ 1201.203. OTHER POLICY PROVISIONS
§ 1201.204. POLICY PROVISIONS REQUIRED BY OTHER JURISDICTION
§ 1201.205. POLICY PROVISIONS FOR POLICY DELIVERED OUTSIDE THIS STATE
§ 1201.206. FILING PROCEDURE
§ 1201.207. POLICY PROVISION: ENTIRETY OF CONTRACT; POLICY CHANGES
§ 1201.208. POLICY PROVISION: INCONTESTABILITY
§ 1201.209. POLICY PROVISION: GRACE PERIOD
§ 1201.210. POLICY PROVISION: REINSTATEMENT
§ 1201.211. POLICY PROVISION: NOTICE OF CLAIM
§ 1201.212. POLICY PROVISION: CLAIM FORMS
§ 1201.213. POLICY PROVISION: PROOF OF LOSS
§ 1201.214. POLICY PROVISION: TIME OF PAYMENT OF CLAIMS
§ 1201.215. POLICY PROVISION: PAYMENT OF CLAIMS
§ 1201.216. POLICY PROVISION: PHYSICAL EXAMINATIONS AND AUTOPSY
§ 1201.217. POLICY PROVISION: LEGAL ACTIONS
§ 1201.218. POLICY PROVISION: CHANGE OF BENEFICIARY
§ 1201.219. POLICY PROVISION: CHANGE OF OCCUPATION
§ 1201.220. POLICY PROVISION: MISSTATEMENT OF AGE
§ 1201.221. POLICY PROVISION: EXCESS INSURANCE
§ 1201.222. POLICY PROVISION: RELATION OF EARNINGS TO INSURANCE
§ 1201.223. POLICY PROVISION: UNPAID PREMIUM
§ 1201.224. POLICY PROVISION: CANCELLATION
§ 1201.225. POLICY PROVISION: CONFORMITY WITH STATE STATUTES
§ 1201.226. POLICY PROVISION: ILLEGAL OCCUPATION
§ 1201.227. POLICY PROVISION: INTOXICANTS AND NARCOTICS
Subchapter F. APPLICATION FOR POLICY
§ 1201.271. ALTERATION OF POLICY APPLICATION
§ 1201.272. FALSE STATEMENTS
§ 1201.273. BINDING STATEMENTS
§ 1201.274. INSURER'S EVIDENTIARY USE OF APPLICATION FOR REINSTATEMENT OR RENEWAL
Subchapter O. ENFORCEMENT
§ 1201.701. CIVIL PENALTY
§ 1201.702. ACTION AGAINST CERTIFICATE OF AUTHORITY OR LICENSE