28 Tex. Admin. Code § 21.4704

Current through Reg. 49, No. 44; November 1, 2024
Section 21.4704 - Purposes

The purposes of this subchapter are to provide for the circumstances under which, and the constraints within which, a group health benefit plan issuer, an accident and health insurance issuer, or health maintenance organization may:

(1) vary benefits, including cost-sharing mechanisms such as a deductible, copayment, or coinsurance, based on whether an individual has met the standards of a wellness program that satisfies the requirements of §§ 21.4706, 21.4707, or 21.4708 of this title; or ;
(2) vary the amount of premium or contribution it requires similarly situated individuals to pay based on whether an individual has met the standards of a wellness program that satisfies the requirements of §§ 21.4706, 21.4707, or 21.4708 of this title .

28 Tex. Admin. Code § 21.4704

The provisions of this §21.4704 adopted to be effective March 31, 2009, 34 TexReg 2135; Amended by Texas Register, Volume 40, Number 29, July 17, 2015, TexReg 4693, eff. 7/22/2015