{"data":{"id":"us-tx/tex.-insurance-code-1504.052","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1504.052","heading":"CHILD RESIDING OUTSIDE SERVICE AREA; COMPARABLE HEALTH OR DENTAL COVERAGE REQUIRED.","body":"(a) A benefit plan issuer may not deny enrollment of a child under the health or dental coverage of the child's parent on the ground that the child does not reside in the issuer's service area.\n(b) A benefit plan issuer may not enforce an otherwise applicable provision of the health or dental coverage that would deny, limit, or reduce payment of a claim for a covered child who resides outside the issuer's service area but inside the United States.\n(c) For a covered child who resides outside the benefit plan issuer's service area and whose coverage under a policy or plan is required by a medical support order or dental support order, the issuer shall provide coverage that is comparable health or dental coverage to that provided to other dependents under the policy or plan.\n(d) Comparable health or dental coverage may include coverage in which a benefit plan issuer uses different procedures for service delivery and health care provider reimbursement. Comparable health or dental coverage may not include coverage:\n(1) that is limited to emergency services only; or\n(2) for which the issuer charges a higher premium.\nAdded by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.\nAmended by:\nActs 2015, 84th Leg., R.S., Ch. 1150 (S.B. 550), Sec. 65, eff. September 1, 2018.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE G. HEALTH COVERAGE AVAILABILITY","CHAPTER 1504. MEDICAL AND DENTAL CHILD SUPPORT","SUBCHAPTER B. DUTIES OF BENEFIT PLAN ISSUER"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1504.htm#1504.052","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"7c725a45f22dcf3b3c107cdc7ecf37f38b7f183db2f480303596756b09313a04","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1504.051","next":"us-tx/tex.-insurance-code-1504.053"},"notice":"GroundRules: Original legal text. Not legal advice."}