Texas Statutes (Last Updated: January 4, 2014) |
INSURANCE CODE |
Title 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES |
Subtitle A. HEALTH COVERAGE IN GENERAL |
Chapter 1201. ACCIDENT AND HEALTH INSURANCE |
Subchapter D. PREEXISTING CONDITIONS |
Sec. 1201.152. COVERAGE UNDER SIMPLIFIED APPLICATION FORM
Latest version.
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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.