{"data":{"id":"us-tx/tex.-insurance-code-1252.003","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1252.003","heading":"COVERAGE ISSUED ON GROUP-TYPE BASIS.","body":"(a) For purposes of this chapter, health benefit plan coverage is provided on a group-type basis if:\n(1) the plan provides coverage under an insurance policy or subscriber contract to a class of employees or a class of members of a labor union or members of an association and the class is determined by conditions relating to their employment or to their membership in the union or association;\n(2) coverage under the plan is not available to the general public and can be obtained and maintained only because of the covered individual's employment status or membership in a labor union or an association;\n(3) premiums or subscription charges for the plan are paid to the carrier on an aggregate or bulk-payment basis; and\n(4) the plan is sponsored by:\n(A) the employer of the class of employees covered by the plan; or\n(B) the labor union or an association to which the class of members covered by the plan belongs.\n(b) Health benefit plan coverage is not provided on a group-type basis if it is a salary-budget plan using individual insurance policies or subscriber contracts that do not meet the conditions for group-type coverage specified by Subsection (a).\nAdded by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE B. GROUP HEALTH COVERAGE","CHAPTER 1252. DISCONTINUATION AND REPLACEMENT OF GROUP AND GROUP-TYPE HEALTH BENEFIT PLAN COVERAGE","SUBCHAPTER A. GENERAL PROVISIONS"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1252.htm#1252.003","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"263085d4ed81f1348ac2f6ec0db973355c4e7add24be1633d84ca3f8542e100a","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1252.002","next":"us-tx/tex.-insurance-code-1252.101"},"notice":"GroundRules: Original legal text. Not legal advice."}