Sec. 1303.252. CONTENTS OF EVIDENCE OF COVERAGE  


Latest version.
  • (a) Evidence of coverage under a residential service contract must contain a clear and complete statement, if the evidence is a contract, or a reasonably complete facsimile, if the evidence is a certificate, of:

    (1) the services or benefits to which the contract holder is entitled;

    (2) any limitation on the services, kinds of services, or benefits to be provided, including a deductible or co-payment provision;

    (3) where and in what manner information is available on how to obtain services;

    (4) the period during which the coverage is in effect;

    (5) the residential service company's agreement to perform services on the contract holder's telephone request to the company, without a requirement that a claim form or application be filed before the services are performed;

    (6) the company's agreement that, under normal circumstances, the company will initiate the performance of services within 48 hours after the contract holder requests the services; and

    (7) any service fee to be charged for a service call.

    (b) Evidence of coverage may not contain a provision that encourages misrepresentation or that is unjust, unfair, inequitable, misleading, deceptive, or false.

Added by Acts 2001, 77th Leg., ch. 1421, Sec. 3, eff. June 1, 2003.