Section 11.2403 - Prohibited PracticesA limited service HMO may not:
(1) exclude services required for preexisting conditions which would otherwise be covered under the plan;(2) establish waiting periods for coverage of preexisting conditions;(3) impose a lifetime coverage maximum for any covered service or benefit;(4) limit or otherwise interfere with an enrollee's right to terminate his or her membership in the plan before the end of the enrollment year;(5) limit coverage for emergency services under a limited health care service plan;(6) charge an emergency fee in addition to a copayment for emergency services; or(7) count medication-related services and services provided by telephone toward the annual outpatient visit total for either serious or nonserious mental illness.28 Tex. Admin. Code § 11.2403
The provisions of this §11.2403 adopted to be effective February 14, 1999, 24 TexReg 726; Adopted by Texas Register, Volume 42, Number 16, April 21, 2017, TexReg 2264, eff. 8/1/2017