{"data":{"id":"us-tx/tex.-insurance-code-1501.104","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1501.104","heading":"AFFILIATION PERIOD.","body":"(a) In this section, \"affiliation period\" means a period that, under a small or large employer health benefit plan offered by a health maintenance organization, must expire before the coverage becomes effective.\n(b) A health maintenance organization may impose an affiliation period if the period is applied uniformly without regard to any health status related factor. The affiliation period may not exceed:\n(1) two months for an enrollee, other than a late enrollee; or\n(2) 90 days for a late enrollee.\n(c) An affiliation period under a small or large employer health benefit plan must run concurrently with any applicable waiting period under the plan. A health maintenance organization must credit an affiliation period against any preexisting condition provision period.\n(d) During an affiliation period, a health maintenance organization:\n(1) is not required to provide health care services or benefits to the participant or beneficiary; and\n(2) may not charge a premium to the participant or beneficiary.\n(e) A health maintenance organization may use an alternative method approved by the commissioner to address adverse selection.\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 G. HEALTH COVERAGE AVAILABILITY","CHAPTER 1501. HEALTH INSURANCE PORTABILITY AND AVAILABILITY ACT","SUBCHAPTER C. PROVISION OF COVERAGE"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1501.htm#1501.104","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"5100ad658bf9184502b26c94ea5892ccad8a3fb0a6bea0dff1ddbb22d038245c","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1501.103","next":"us-tx/tex.-insurance-code-1501.105"},"notice":"GroundRules: Original legal text. Not legal advice."}