{"data":{"id":"us-tx/tex.-insurance-code-1501.058","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1501.058","heading":"POWERS AND DUTIES OF COOPERATIVES.","body":"(a) A cooperative shall:\n(1) arrange for small or large employer health benefit plan coverage for small employer groups, large employer groups, and, subject to Section 1501.0581, eligible single-employee businesses that participate in the cooperative by contracting with small or large employer health benefit plan issuers that meet the requirements established by Section 1501.061;\n(2) collect premiums to cover the cost of:\n(A) small or large employer health benefit plan coverage purchased through the cooperative; and\n(B) the cooperative's administrative expenses;\n(3) establish administrative and accounting procedures for the operation of the cooperative;\n(4) establish procedures under which an applicant for or participant in coverage issued through the cooperative may have a grievance reviewed by an impartial person;\n(5) contract with small or large employer health benefit plan issuers to provide services to small or large employers covered through the cooperative; and\n(6) develop and implement a plan to maintain public awareness of the cooperative and publicize the eligibility requirements for, and the procedures for enrollment in, coverage through the cooperative.\n(b) A cooperative may:\n(1) contract with agents to market coverage issued through the cooperative;\n(2) contract with a small or large employer health benefit plan issuer or third-party administrator to provide administrative services to the cooperative;\n(3) negotiate the premiums paid by its members; and\n(4) offer other ancillary products and services to its members that are customarily offered in conjunction with health benefit plans.\n(c) A cooperative shall comply with:\n(1) federal laws applicable to cooperatives and health benefit plans issued through cooperatives, to the extent required by state law or rules adopted by the commissioner; and\n(2) state laws applicable to cooperatives and health benefit plans issued through cooperatives.\n(d) To be eligible to exercise the authority granted under Subsection (a)(1), a health group cooperative must have at least 10 participating employers.\nAdded by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.\nAmended by:\nActs 2005, 79th Leg., Ch. 728 (H.B. 2018), Sec. 11.053(a), eff. September 1, 2005.\nActs 2011, 82nd Leg., R.S., Ch. 1067 (S.B. 859), Sec. 2, eff. June 17, 2011.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE G. HEALTH COVERAGE AVAILABILITY","CHAPTER 1501. HEALTH INSURANCE PORTABILITY AND AVAILABILITY ACT","SUBCHAPTER B. COALITIONS AND COOPERATIVES"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1501.htm#1501.058","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"73cb124d7f5434632717493b7d1392a3f472fa695c6eeadeb2322ce27bb55fdc","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1501.0575","next":"us-tx/tex.-insurance-code-1501.0581"},"notice":"GroundRules: Original legal text. Not legal advice."}
