28 Tex. Admin. Code § 21.2424

Current through Reg. 49, No. 44; November 1, 2024

Section 21.2424 - Issuer and Plan Information

(a) Identifying issuer information. For each data collection template an issuer provides to TDI under § 21.2423 of this title (relating to Collecting and Reporting Data), within the "MH/SUD Parity Rule Division 2 Data Collection Reporting Form" template, in the worksheet titled "Issuer and Plan Information," an issuer must provide the:

(1) issuer name;

(2) NAIC number, or if none, issuer license number;

(3) reporting year;

(4) submission date;

(5) contact name;

(6) title;

(7) phone number; and

(8) email address.

(b) Identifying plan information. In the "Issuer and Plan Information" worksheet, an issuer must identify the:

(1) market type;

(2) plan type;

(3) number of policies or contracts for which data is reported;

(4) number of covered lives for which data is reported; and

(5) premium volume for policies or contracts for which data is reported.

(c) Information on grandfathered coverage. In the "Issuer and Plan Information" worksheet, an issuer must specify whether it has any plans subject to this rule that provide grandfathered coverage, as defined in 45 CFR § 147.140 (concerning Preservation of Right to Maintain Existing Coverage). If so, the issuer must identify the:

(1) number of policies or contracts that provide grandfathered coverage;

(2) number of covered lives under grandfathered coverage; and

(3) premium volume for grandfathered policies or contracts.

28 Tex. Admin. Code § 21.2424

Adopted by Texas Register, Volume 46, Number 36, September 3, 2021, TexReg 5584, eff. 9/7/2021