Chapter 1251. GROUP AND BLANKET HEALTH INSURANCE  


Subchapter A. GENERAL PROVISIONS
§ 1251.001. DEFINITIONS
§ 1251.002. CERTAIN GROUP HEALTH INSURANCE AUTHORIZED
§ 1251.003. CERTAIN BLANKET HEALTH INSURANCE AUTHORIZED
§ 1251.004. CERTAIN PAYMENTS BY INSURERS PROHIBITED
§ 1251.005. PAYMENT OF BENEFITS
§ 1251.006. POLICY MAY NOT SPECIFY SERVICE PROVIDER
§ 1251.007. EXCEPTIONS
§ 1251.008. RULES
Subchapter B. GROUP ACCIDENT AND HEALTH INSURANCE: ELIGIBLE POLICYHOLDERS
§ 1251.051. EMPLOYERS
§ 1251.052. ASSOCIATIONS
§ 1251.053. FUNDS ESTABLISHED BY EMPLOYERS, LABOR UNIONS, OR ASSOCIATIONS
§ 1251.054. ELIGIBILITY FOR GROUP LIFE INSURANCE
§ 1251.055. FUND FOR FORMER EMPLOYEES AND MEMBERS
§ 1251.056. OTHER GROUPS
Subchapter C. GROUP ACCIDENT AND HEALTH INSURANCE: REQUIRED PROVISIONS
§ 1251.101. REQUIRED PROVISIONS
§ 1251.102. PAYMENT OF PREMIUMS
§ 1251.103. INCONTESTABILITY OF POLICY
§ 1251.104. ENTIRE CONTRACT
§ 1251.105. STATEMENT MADE BY POLICYHOLDER OR INSURED
§ 1251.106. DISTINCTION BASED ON MARITAL STATUS PROHIBITED
§ 1251.107. EVIDENCE OF INSURABILITY
§ 1251.108. EXCLUSION OR LIMITATION OF COVERAGE FOR PREEXISTING CONDITIONS
§ 1251.109. ADJUSTMENT OF PREMIUMS OR BENEFITS IF AGE OF INSURED IS MISSTATED
§ 1251.110. DEADLINE FOR NOTICE OF CLAIM
§ 1251.111. CLAIM FORMS
§ 1251.112. DEADLINE FOR CLAIM
§ 1251.113. PROMPT PAYMENT OF BENEFITS REQUIRED
§ 1251.114. PAYMENT OF BENEFITS
§ 1251.115. RIGHT TO CONDUCT PHYSICAL EXAMINATION OR AUTOPSY
§ 1251.116. LEGAL OR EQUITABLE ACTIONS; LIMITATIONS
§ 1251.117. CONTINUATION OR CONVERSION OF COVERAGE
Subchapter D. GROUP ACCIDENT AND HEALTH INSURANCE: COVERAGE FOR DEPENDENTS
§ 1251.151. COVERAGE FOR CERTAIN GRANDCHILDREN
§ 1251.152. OPTIONAL COVERAGE FOR SPOUSES AND DEPENDENTS
§ 1251.153. OPTIONAL CONTINUATION OF DEPENDENTS' BENEFITS ON DEATH OF INSURED
§ 1251.154. COVERAGE FOR ADOPTED CHILDREN
Subchapter E. GROUP ACCIDENT AND HEALTH INSURANCE: GENERAL PROVISIONS
§ 1251.201. CERTIFICATE OF INSURANCE; NOTICE OF SEPARATE AVAILABLE COVERAGE
§ 1251.202. NOTICE REGARDING CERTAIN EMPLOYER HEALTH BENEFIT PLANS
Subchapter F. CONTINUATION OR CONVERSION PRIVILEGE ON TERMINATION OF COVERAGE UNDER GROUP POLICY
§ 1251.251. CONTINUATION OF GROUP COVERAGE REQUIRED; EXCEPTION
§ 1251.252. ELIGIBILITY FOR CONTINUATION OF GROUP COVERAGE
§ 1251.253. REQUEST FOR CONTINUATION OF GROUP COVERAGE
§ 1251.254. PAYMENT OF CONTRIBUTIONS
§ 1251.255. TERMINATION OF CONTINUED COVERAGE
§ 1251.256. CONVERSION OF GROUP POLICY
§ 1251.257. PREMIUM FOR CONVERTED POLICY
§ 1251.258. BENEFITS UNDER CONVERTED POLICY
§ 1251.259. TERMINATION OF CONVERTED POLICY
§ 1251.260. NOTICE OF CONTINUATION AND CONVERSION PRIVILEGES
Subchapter G. CONTINUATION OF GROUP COVERAGE FOR CERTAIN FAMILY MEMBERS AND DEPENDENTS
§ 1251.301. CONTINUATION OF GROUP COVERAGE
§ 1251.302. ELIGIBILITY FOR CONTINUED COVERAGE
§ 1251.303. PHYSICAL EXAMINATION NOT REQUIRED
§ 1251.304. SCOPE OF COVERAGE
§ 1251.305. AMOUNT OF PREMIUM
§ 1251.306. PAYMENT OF PREMIUMS
§ 1251.307. NOTICE OF CONTINUATION OPTION
§ 1251.308. NOTICE OF SEVERANCE OF FAMILY RELATIONSHIP; NOTICE OF DESIRE TO EXERCISE OPTION
§ 1251.309. CONTINUATION OF CERTAIN COVERAGES
§ 1251.310. TERMINATION OF CONTINUED COVERAGE
Subchapter H. BLANKET ACCIDENT AND HEALTH INSURANCE: ELIGIBLE POLICYHOLDERS
§ 1251.351. COMMON CARRIER OR MOTOR VEHICLE RENTAL OR LEASING COMPANY
§ 1251.352. EMPLOYERS
§ 1251.353. EDUCATIONAL INSTITUTIONS
§ 1251.354. RELIGIOUS, CHARITABLE, RECREATIONAL, EDUCATIONAL, OR CIVIC ORGANIZATION
§ 1251.355. SPORTS TEAM OR CAMP
§ 1251.356. GOVERNMENTAL OR VOLUNTEER EMERGENCY SERVICES ORGANIZATION
§ 1251.357. NEWSPAPER OR OTHER PUBLISHER
§ 1251.358. ASSOCIATION
§ 1251.359. COVERAGE FOR OTHER RISKS
Subchapter I. BLANKET ACCIDENT AND HEALTH INSURANCE: GENERAL PROVISIONS
§ 1251.401. INDIVIDUAL APPLICATION AND CERTIFICATE NOT REQUIRED
§ 1251.402. LIABILITY OF POLICYHOLDER NOT AFFECTED
Subchapter J. REGULATION OF OUT-OF-STATE GROUP ACCIDENT AND HEALTH INSURANCE COVERAGE
§ 1251.451. APPLICABILITY OF CERTAIN LAWS TO OUT-OF-STATE GROUP ACCIDENT AND HEALTH INSURANCE COVERAGE