Sec. 1207.004. TERMINATION OF ENROLLMENT


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  • (a) Notwithstanding any other requirement of a group health benefit plan, the plan issuer shall permit an individual who is enrolled in the plan under Section 1207.002(a)(1), and any family member of the individual enrolled under Section 1207.002(c), to terminate enrollment in the plan not later than the 60th day after the date on which the individual provides satisfactory proof to the issuer that the individual is no longer:

    (1) a recipient of medical assistance under the state Medicaid program; or

    (2) a participant in the health insurance premium payment reimbursement program under Section 32.0422, Human Resources Code.

    (b) Notwithstanding any other requirement of a group health benefit plan, the plan issuer shall permit an individual who is enrolled in the plan under Section 1207.002(a)(2), and any family member of the individual enrolled under Section 1207.002(c), to terminate enrollment in the plan not later than the 60th day after the date on which the individual provides a written request to disenroll from the plan because the individual no longer wishes to participate in the health insurance premium assistance program under Section 62.059, Health and Safety Code.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005. Amended by: Acts 2005, 79th Leg., Ch. 728 , Sec. 11.026(a), eff. September 1, 2005. Acts 2007, 80th Leg., R.S., Ch. 268 , Sec. 24(c), eff. September 1, 2007.