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Texas Statutes (Last Updated: January 4, 2014) |
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INSURANCE CODE |
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Title 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES |
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Subtitle C. MANAGED CARE |
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Chapter 1271. BENEFITS PROVIDED BY HEALTH MAINTENANCE ORGANIZATIONS; EVIDENCE OF COVERAGE; CHARGES |
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Subchapter G. CONTINUATION OF COVERAGE, CONVERSION CONTRACTS, AND RENEWAL |
Sec. 1271.301. ENTITLEMENT TO CONTINUATION OF GROUP COVERAGE
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(a) In this section, "involuntary termination for cause" does not include termination for any health-related reason.
(b) A health maintenance organization shall provide a group coverage continuation privilege as required by and subject to the eligibility provisions of this subchapter.
(c) An enrollee is entitled to continue group coverage as provided by this subchapter if:
(1) the enrollee's coverage under a group contract is terminated for any reason except involuntary termination for cause; and
(2) the enrollee for at least three consecutive months immediately before the termination of coverage has been continuously covered under the group contract and under any previous group contract providing similar services and benefits that the current group contract replaced.