Sec. 1501.203. ESTABLISHMENT OF CLASSES OF BUSINESS ON CERTAIN BASES PROHIBITED  


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  • (a) A small employer health benefit plan issuer may not establish a separate class of business based on:

    (1) participation requirements; or

    (2) whether the coverage provided to a small employer group is provided on a guaranteed issue basis or is subject to underwriting or proof of insurability.

    (b) A small employer health benefit plan issuer may not directly or indirectly use as a criterion for establishing a separate class of business:

    (1) the number of employees and dependents of a small employer; or

    (2) except as provided by Section 1501.202(b)(3), the trade or occupation of the employees of a small employer or the industry or type of business of the small employer.

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