{"data":{"id":"us-tx/tex.-insurance-code-1253.001","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1253.001","heading":"LIMITATION OF SERVICES AND BENEFITS ON CONTRACT RENEGOTIATION.","body":"(a) In this section, \"health benefit contract\" means a contract providing group health care coverage for employees that is delivered, issued for delivery, or renewed in this state by:\n(1) an insurance company;\n(2) a group hospital service corporation operating under Chapter 842; or\n(3) a health maintenance organization operating under Chapter 843.\n(b) Subject to Subsection (c), if an employer in this state agrees to renegotiate a health benefit contract, a change in the renegotiated contract may not operate solely to terminate eligibility with respect to any member of the group who, before the contract was renegotiated:\n(1) was covered under the contract; and\n(2) had a sickness or injury for which a service was being provided or a benefit was being paid under the contract.\n(c) A renegotiated health benefit contract may include a different durational or dollar limit or a different deductible amount or amount of coinsurance applicable to a sickness or injury for which a service was being provided or benefit was being paid before the contract was renegotiated if that same or a similar limit or amount applies to a service provided or benefit paid for a similar sickness or a related condition or injury covered by the contract.\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 1253. CANCELLATION OF GROUP COVERAGE IN CERTAIN CIRCUMSTANCES","SUBCHAPTER A. GENERAL PROVISIONS"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1253.htm#1253.001","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"b7617a02c5e19162eb41d821165b773a3903e05d26f7816c9507bfefc3aab219","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1252.207","next":"us-tx/tex.-insurance-code-1253.051"},"notice":"GroundRules: Original legal text. Not legal advice."}