 |
Texas Statutes (Last Updated: January 4, 2014) |
 |
INSURANCE CODE |
|
Title 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES |
|
Subtitle G. HEALTH COVERAGE AVAILABILITY |
|
Chapter 1506. TEXAS HEALTH INSURANCE POOL |
|
Subchapter D. POOL COVERAGE AND BENEFITS |
Sec. 1506.158. TERMINATION OF POOL COVERAGE
-
(a) An individual's pool coverage ends:
(1) on the date the individual ceases to be a legally domiciled resident of this state, unless the individual:
(A) is a student younger than 25 years of age and is financially dependent on a parent covered by the pool;
(B) is a child for whom an individual covered by the pool may be obligated to pay child support; or
(C) is a child who is disabled and dependent on a parent covered by the pool, regardless of the age of the child;
(2) on the first day of the month following the date the individual requests coverage to end;
(3) on the date the individual covered by the pool dies;
(4) on the date state law requires cancellation of the coverage;
(5) at the option of the pool, on the 31st day after the date the pool sends to the individual any inquiry concerning the individual's eligibility, including an inquiry concerning the individual's residence, to which the individual does not reply;
(6) on the 31st day after the date a premium payment for pool coverage becomes due if the payment is not made before that day;
(7) on the date the individual is 65 years of age and eligible for coverage under Medicare, unless the coverage received from the pool is Medicare supplement coverage issued by the pool; or
(8) at the time the individual ceases to meet the eligibility requirements for coverage.
(b) Notwithstanding Subsection (a), the coverage of an individual who ceases to meet the eligibility requirements for coverage terminates on the earlier of:
(1) the first premium due date after the date the pool determines the individual does not meet the eligibility requirements; or
(2) the first day of the first month after the month in which the pool determines the individual does not meet the eligibility requirements.
(c) The pool has the sole discretion to determine that an individual does not meet the eligibility requirements for coverage.
(d) An individual may maintain pool coverage for the period the individual is satisfying a preexisting waiting period under another health benefit plan or health benefit arrangement intended to replace the pool coverage.