Tex. Ins. Code Section 846.003
Limited Exemption from Insurance Laws; Applicability of Certain Laws


(a)

A multiple employer welfare arrangement is exempt from the operation of all insurance laws of this state, except laws that are made applicable by their specific terms or as specified in this section or chapter.

(b)

A multiple employer welfare arrangement is subject to the following laws:

(1)

Subchapters C (Definition) and D, Chapter 36 (Department Rules and Procedures);

(2)

Section 38.001 (Inquiries);

(3)

Section 81.002 (Notice of Certain Orders and Decisions);

(4)

Chapter 82 (Sanctions);

(5)

Chapter 83 (Emergency Cease and Desist Orders);

(6)

Chapter 86 (Revocation or Modification of Certificate of Authority; Authority to Bring Certain Actions);

(7)

Section 201.003 (Refunds);

(8)

Sections 401.051 (Duty to Examine Carriers), 401.052 (Frequency of Examination), 401.054-401.062, 401.151 (Expenses of Examination of Domestic Insurer), 401.152 (Expenses of Examination of Other Insurers), 401.155 (Additional Assessments), and 401.156 (Deposit and Use of Assessment and Fee);

(9)

Chapter 441 (Supervision and Conservatorship);

(10)

Chapter 443 (Insurer Receivership Act);

(11)

Chapter 461 (General Provisions);

(12)

Section 521.005 (Notice to Accompany Policy);

(13)

Chapter 541 (Unfair Methods of Competition and Unfair or Deceptive Acts or Practices);

(14)

Chapter 701 (Insurance Fraud Investigations);

(15)

Chapter 801 (Certificate of Authority);

(16)

Chapter 803 (Location of Books, Records, Accounts, and Offices Outside of This State);

(17)

Chapter 804 (Service of Process);

(18)

Subchapter A (Definitions), Chapter 805 (Directors, Officers, and Other Interested Persons); and

(19)

Sections 841.259 (Activities of Directors and Officers), 841.701-841.702, and 841.704-841.705.

(c)

A multiple employer welfare arrangement is only considered an insurer for purposes of the laws described by this section.
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.
Amended by:
Acts 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 2E.056, eff. April 1, 2009.

Source: Section 846.003 — Limited Exemption from Insurance Laws; Applicability of Certain Laws, https://statutes.­capitol.­texas.­gov/Docs/IN/htm/IN.­846.­htm#846.­003 (accessed May 4, 2024).

846.001
Definitions
846.002
Applicability of Chapter
846.003
Limited Exemption from Insurance Laws
846.004
Late-participating Employee or Dependent
846.005
Rules
846.006
Appeal of Orders
846.007
Premium Rates
846.0035
Applicability of Certain Laws to Association Providing Health Benefits
846.051
Certificate of Authority Required
846.052
Application for Initial Certificate of Authority
846.053
Eligibility Requirements for Initial Certificate of Authority
846.054
Issuance of Initial Certificate of Authority
846.055
Extension of Term of Initial Certificate of Authority
846.056
Final Certificate of Authority
846.057
Denial of Final Certificate of Authority
846.058
Disqualification
846.059
Fees
846.060
Suspension, Revocation, or Limitation of Certificate of Authority
846.061
Action by Attorney General
846.101
Board Members
846.102
Duties of Board Members
846.103
Limitation on Action Against Board Member
846.104
Compensation of Board Members
846.105
Officers
846.106
Compensation of Officers, Agents, and Employees
846.107
Receipt of Thing of Value
846.151
General Powers
846.152
Filing of Organizational Documents
846.153
Required Filings
846.154
Cash Reserve Requirements
846.155
Adjustment of Contributions
846.156
Waiver or Reduction of Required Stop-loss Insurance or Cash Reserves
846.157
Renewal of Certificate
846.158
Examination of Multiple Employer Welfare Arrangements
846.159
Name of Multiple Employer Welfare Arrangement
846.160
Evidence of Existence
846.201
Benefits Allowed
846.202
Preexisting Condition Provision
846.203
Treatment of Certain Conditions as Preexisting Prohibited
846.204
Waiting Period Permitted
846.205
Certain Limitations or Exclusions of Coverage Prohibited
846.206
Renewability of Coverage
846.207
Refusal to Renew
846.208
Notice to Covered Persons
846.209
Written Statement of Denial, Cancellation, or Refusal to Renew
846.251
Participation Criteria
846.252
Coverage Requirements
846.253
Prohibition on Exclusion of Eligible Employee or Dependent
846.254
Written Notice to Employees Covered
846.255
Declining Coverage
846.256
Minimum Contribution or Participation Requirements
846.257
Enrollment
846.258
Coverage for Newborn Children
846.259
Coverage for Adopted Children
846.260
Limiting Age Applicable to Unmarried Child
846.301
Marketing Requirements
846.302
Additional Reporting Requirements
846.303
Applicability to Third-party Administrator

Accessed:
May 4, 2024

§ 846.003’s source at texas​.gov