Sec. 1201.152. COVERAGE UNDER SIMPLIFIED APPLICATION FORM  


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  • (a) Notwithstanding Clause (b) of the provision required by Section 1201.208(a), an individual accident and health insurance policy must cover any loss that occurs after 12 months from a preexisting condition if the insurer uses a simplified application form that does not include a question concerning the applicant's health history or medical treatment history.

    (b) This section applies regardless of whether the simplified application form includes a question regarding the applicant's health at the time of application.

    (c) This section does not require an insurer to cover a loss from a condition that the policy specifically excludes from coverage.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.