Sec. 1506.156. BENEFIT REDUCTION; CERTAIN COVERAGES SECONDARY  


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  • (a) The pool shall reduce benefits otherwise payable under pool coverage by:

    (1) the total amount paid or payable through any other health benefit plan or health benefit arrangement; and

    (2) the total amount of hospital or medical expense benefits paid or payable under:

    (A) workers' compensation coverage;

    (B) automobile insurance, regardless of whether provided on the basis of fault or no fault; or

    (C) a state or federal law or program.

    (b) Pool coverage provided under Section 1506.152(a)(3)(E) is secondary to the individual coverage described by that paragraph for any period during which that individual coverage is in effect.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005. Amended by: Acts 2005, 79th Leg., Ch. 824 , Sec. 6, eff. January 1, 2006.