Tex. Ins. Code Section 1508.201
Rating; Premium Practices in General


(a)

A health benefit plan issuer participating in the program must:

(1)

use rating practices for qualifying health benefit plans that are consistent with the purposes of this chapter; and

(2)

in setting premiums for qualifying health benefit plans, consider the availability of reimbursement from the fund.

(b)

A health benefit plan issuer participating in the program shall apply rating factors consistently with respect to all small employers in a class of business.

(c)

Differences in premium rates charged for qualifying health benefit plans must be reasonable and reflect objective differences in plan design.
Added by Acts 2009, 81st Leg., R.S., Ch. 721 (S.B. 78), Sec. 2.01, eff. September 1, 2009.

Source: Section 1508.201 — Rating; Premium Practices in General, https://statutes.­capitol.­texas.­gov/Docs/IN/htm/IN.­1508.­htm#1508.­201 (accessed Feb. 26, 2025).

1501
Health Insurance Portability and Availability Act
1502
Health Benefit Plans for Children
1503
Coverage of Certain Students
1504
Medical and Dental Child Support
1505
Group Health Insurance Plans for Persons 65 Years of Age or Older
1507
Consumer Choice of Benefits Plans
1508.001
Purpose
1508.002
Definitions
1508.003
Rules
1508.051
Employer Eligibility to Participate
1508.052
Commissioner Adjustments Authorized
1508.053
Minimum Employer Participation Requirements
1508.054
Employer Contribution Requirements
1508.101
Participating Plan Issuers
1508.102
Preexisting Condition Provision Required
1508.103
Exception from Mandated Benefit Requirements
1508.104
Certain Coverage Prohibited or Required
1508.151
Employer Certification
1508.152
Application Process
1508.153
Employee Enrollment
1508.154
Reports
1508.201
Rating
1508.202
Premium Rate Development and Calculation
1508.203
Filing
1508.251
Establishment of Fund
1508.252
Operation of Fund
1508.253
Reimbursement Request Submission
1508.254
Fund Availability
1508.255
Program Reporting
1508.256
Claims Experience Data
1508.257
Total Eligible Enrollment Determination
1508.258
Evaluation and Protection of Fund
1508.259
Employer Enrollment Reactivation
1508.260
Fund Administrator
1508.261
Stop-loss Insurance
1508.262
Public Education and Outreach
1509
Short-term Limited-duration Insurance
1510.001
Definition
1510.002
Establishment of Temporary Health Insurance Risk Pool
1510.003
Purpose of Pool
1510.004
Provision of Guaranteed Issue Health Coverage
1510.005
Contracts and Agreements
1510.006
Funding
1510.007
Public Education and Outreach
1510.008
Waiver
1510.009
Additional Authority
1510.010
Rules
1510.011
Exemption from State Taxes and Fees
1510.012
Annual Report of Pool Activities
1510.013
Expiration of Chapter

Accessed:
Feb. 26, 2025

§ 1508.201’s source at texas​.gov