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HB 2583

AN ACT relating to a group health benefit plan policy or contract holder's

House Bill
Filed

Filed

Bill introduced by legislator

Committee

Hearing

Passed Cmte

Calendar

Passed

Sent

Enrolled

Governor

Signed

89th Regular Session

Jan 14, 2025 - Jun 2, 2025 • Session ended

Awaiting Committee Assignment

Bill filed, pending referral to House committee

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Committee

Not yet assigned

Fiscal Note

Not available

What This Bill Does

Allows health maintenance organizations and insurers to waive premium payments for a group policyholder if the policyholder notifies the organization about an individual's coverage termination after the month of eligibility ends. The waiver applies only if no covered health services were provided to the individual after their eligibility terminated, providing flexibility for group health plan contract holders in reporting and billing procedures.

Subject Areas

Bill Text

relating to a group health benefit plan policy or contract holder's
obligation to pay premiums on behalf of an individual after the
individual's eligibility for group coverage terminates.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1.  Section 843.210, Insurance Code, is amended by
adding Subsection (e) to read as follows:
(e)  If the group contract holder notifies the health
maintenance organization of the termination of an enrollee's
eligibility for coverage later than the end of the month in which
the enrollee's eligibility for the group coverage terminated, the
health maintenance organization may waive the contract holder's
liability for premiums on the enrollee for any subsequent months,
provided that no covered services were provided to the enrollee
after the end of the month in which the enrollee's eligibility
SECTION 2.  Section 1301.0061, Insurance Code, is amended by
adding Subsection (e) to read as follows:
(e)  If the group policyholder notifies the insurer of the
termination of an individual's eligibility for coverage later than
the end of the month in which the individual's eligibility for the
group coverage terminated, the insurer may waive the policyholder's
liability for premiums on the individual for any subsequent months,
provided that no covered services were provided to the individual
after the end of the month in which the individual's eligibility
SECTION 3.  This Act takes effect immediately if it receives
a vote of two-thirds of all the members elected to each house, as
provided by Section 39, Article III, Texas Constitution.  If this
Act does not receive the vote necessary for immediate effect, this
Act takes effect September 1, 2025.

Bill History

filed

Bill filed: AN ACT relating to a group health benefit plan policy or contract holder's