Sec. 1506.151. MINIMUM POOL COVERAGE

(a) The pool shall offer coverage consistent with major medical expense coverage to each eligible individual.

(b) The board, with the approval of the commissioner, shall establish:

(1) the coverages to be provided by the pool;

(2) the applicable schedules of benefits; and

(3) any exclusions to coverage and other limitations.

(c) The benefits provisions of the pool's coverage must include:

(1) all required or applicable definitions;

(2) a description of covered services required under the pool;

(3) a list of any exclusions or limitations to coverage; and

(4) the deductibles, coinsurance options, and copayment options that are required or permitted.

(d) Coverage provided by the pool is subject to Chapter 1379.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005. Amended by: Acts 2005, 79th Leg., Ch. 728 , Sec. 11.069(a), eff. September 1, 2005. Acts 2007, 80th Leg., R.S., Ch. 808 , Sec. 3, eff. January 1, 2008. Acts 2007, 80th Leg., R.S., Ch. 881 , Sec. 4, eff. January 1, 2008. Acts 2009, 81st Leg., R.S., Ch. 719 , Sec. 2, eff. September 1, 2009.