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TX HB2583
Bill
Status
2/7/2025
Primary Sponsor
Lacey Hull
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AI Summary
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Allows health maintenance organizations (HMOs) to waive a group contract holder's liability for premiums when notification of an enrollee's eligibility termination is received late (after the end of the month eligibility ended)
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Permits insurers offering preferred provider benefit plans to similarly waive group policyholders' premium liability for individuals whose termination was reported late
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Premium waiver is only permitted if no covered services were provided to the individual after the end of the month in which their eligibility terminated
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Amends Sections 843.210 and 1301.0061 of the Texas Insurance Code
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Takes effect immediately with two-thirds legislative vote, otherwise September 1, 2025
Legislative Description
Relating to a group health benefit plan policy or contract holder's obligation to pay premiums on behalf of an individual after the individual's eligibility for group coverage terminates.
Insurance
Last Action
Laid on the table subject to call
5/15/2025