Tex. Ins. Code Section 1271.306
Conversion Contracts


(a)

A health maintenance organization may offer to each enrollee a conversion contract.

(b)

A health maintenance organization shall issue the conversion contract without evidence of insurability if written application for the contract and payment of the first premium are made not later than the 31st day after the date of termination of coverage.

(c)

A conversion contract must meet the minimum standards for services and benefits for conversion contracts. The commissioner shall adopt rules to prescribe the minimum standards for services and benefits applicable to conversion contracts.

(d)

The premium for a conversion contract shall be determined in accordance with the health maintenance organization’s premium rates for coverage provided under the group contract or plan. The premium may be based on the geographic location of each person to be covered and must be based on the type of conversion contract and the coverage provided by the contract. The premium may not exceed 200 percent of the premium rates for the same coverage provided under a group contract or plan.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.

Source: Section 1271.306 — Conversion Contracts, https://statutes.­capitol.­texas.­gov/Docs/IN/htm/IN.­1271.­htm#1271.­306 (accessed Jun. 5, 2024).

1271.001
Applicability of Definitions
1271.002
Right to Evidence of Coverage
1271.003
Evidence of Coverage Not Health Insurance Policy
1271.004
Individual Health Care Plan
1271.005
Applicability of Other Law
1271.006
Benefits to Dependent Child and Grandchild
1271.007
Religious Convictions
1271.008
Balance Billing Prohibition Notice
1271.051
Evidence of Coverage: Contract and Certificate Requirements
1271.052
Information About Benefits and Limitations
1271.053
Information About Obtaining Services
1271.054
Information About Complaints and Appeals
1271.055
Out-of-network Services
1271.056
Unfair or Deceptive Provisions and Statements Prohibited
1271.057
Discretionary Clauses Prohibited
1271.101
Approval of Form of Evidence of Coverage or Group Contract
1271.102
Procedures for Approval of Form of Evidence of Coverage or Group Contract
1271.103
Withdrawal of Approval of Form
1271.104
Information Required by Commissioner
1271.151
Provision of Basic Health Care Services
1271.152
Standards for Basic Health Care Services
1271.153
Periodic Health Evaluations
1271.154
Well-child Care from Birth
1271.155
Emergency Care
1271.156
Benefits for Rehabilitation Services and Therapies
1271.157
Non-network Facility-based Providers
1271.158
Non-network Diagnostic Imaging Provider or Laboratory Service Provider
1271.159
Non-network Emergency Medical Services Provider
1271.201
Designation of Specialist as Primary Care Physician
1271.202
Appeal
1271.203
Effective Date of Designation
1271.251
Approval of Formula or Method for Computing Schedule of Charges
1271.252
Consideration of Individual Health Status Prohibited
1271.253
Information Required by Commissioner
1271.301
Entitlement to Continuation of Group Coverage
1271.302
Request for Continued Coverage
1271.303
Payment for Continued Coverage
1271.304
Termination of Continued Coverage
1271.306
Conversion Contracts
1271.307
Renewability of Coverage: Individual Health Care Plans and Conversion Contracts

Accessed:
Jun. 5, 2024

§ 1271.306’s source at texas​.gov