Section 21.2452 - Coordination of Provisions in Insurance Code Chapter 1355, Concerning Benefits for Certain Mental Disorders(a) Applicability. This section applies only to a health benefit plan that is subject to both: (1) Insurance Code Chapter 1355, Subchapter A, concerning Group Health Benefit Plan Coverage for Certain Serious Mental Illnesses and Other Disorders; and(2) Insurance Code Chapter 1355, Subchapter F, concerning Coverage for Mental Health Conditions and Substance Use Disorders.(b) Compliance requirement. If an issuer's health benefit plan includes a quantitative or nonquantitative treatment limitation that is permissible under Insurance Code Chapter 1355, Subchapter A, but does not satisfy Insurance Code § 1355.254, concerning Coverage for Mental Health Conditions and Substance Use Disorders, the issuer must modify its plan to ensure that it complies with Insurance Code § 1355.254.28 Tex. Admin. Code § 21.2452
Adopted by Texas Register, Volume 46, Number 36, September 3, 2021, TexReg 5592, eff. 9/7/2021