CHAPTER 1365. LOSS OR IMPAIRMENT OF SPEECH OR HEARING
INSURANCE CODE
TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES
SUBTITLE E. BENEFITS PAYABLE UNDER HEALTH COVERAGES
CHAPTER 1365. LOSS OR IMPAIRMENT OF SPEECH OR HEARING
Sec. 1365.001. APPLICABILITY OF CHAPTER. This chapter applies
only to a group health benefit plan that provides hospital and
medical coverage on an expense-incurred, service, or prepaid
basis, including a group policy, contract, or plan that is
offered in this state by:
(1) an insurer;
(2) a group hospital service corporation operating under Chapter
842; or
(3) a health maintenance organization operating under Chapter
843.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,
2005.
Sec. 1365.002. APPLICABILITY OF GENERAL PROVISIONS OF OTHER LAW.
The provisions of Chapter 1201, including provisions relating to
the applicability, purpose, and enforcement of that chapter,
construction of policies under that chapter, rulemaking under
that chapter, and definitions of terms applicable in that
chapter, apply to this chapter.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,
2005.
Sec. 1365.003. OFFER OF COVERAGE REQUIRED. (a) A group health
benefit plan issuer shall offer and make available under the plan
coverage for the necessary care and treatment of loss or
impairment of speech or hearing.
(b) Coverage required under this section:
(1) may not be less favorable than coverage for physical illness
generally under the plan; and
(2) must be subject to the same durational limits, dollar
limits, deductibles, and coinsurance factors as coverage for
physical illness generally under the plan.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,
2005.
Sec. 1365.004. RIGHT TO REJECT COVERAGE OR SELECT ALTERNATIVE
BENEFITS. An offer of coverage required under Section 1365.003
is subject to the right of the group contract holder to reject
the coverage or to select an alternative level of benefits that
is offered by or negotiated with the group health benefit plan
issuer.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,
2005.
Amended by:
Acts 2007, 80th Leg., R.S., Ch.
730, Sec. 3B.028, eff. September 1, 2007.
Acts 2007, 80th Leg., R.S., Ch.
921, Sec. 9.028, eff. September 1, 2007.