Current through Reg. 49, No. 49; December 6, 2024
Section 26.403 - Marketing Activities of Health Group Cooperatives(a) A health group cooperative may engage in marketing activities related and restricted to membership in the cooperative, including general availability of health coverage, and is not required to maintain an agent's license for soliciting membership in the cooperative. All health coverage issued through the cooperative must be issued through a licensed agent that is employed by or contracted with the cooperative.(b) A sponsoring entity of a health group cooperative may inform its members regarding the health group cooperative and the general availability of coverage through the health group cooperative. All coverage issued through the cooperative must be issued through a licensed agent.(c) A licensed agent that is used and compensated by a health group cooperative is not required to be appointed by a health carrier offering coverage through the health group cooperative. This exemption does not allow an agent to market other products and services not offered through the health group cooperative without an appointment from the health carrier.(d) A health group cooperative or a member of the board of directors, the executive director, an employee, or an agent of a health group cooperative is not liable for failure to arrange for coverage of any particular illness, disease, or health condition in arranging for coverage through the cooperative.(e) A health group cooperative may offer other ancillary products and services to its members that are customarily offered in conjunction with health benefit plans.28 Tex. Admin. Code § 26.403
The provisions of this §26.403 adopted to be effective August 31, 2004, 29 TexReg 8360; amended to be effective January 31, 2006, 31 TexReg 512; Amended by Texas Register, Volume 42, Number 19, May 12, 2017, TexReg 2560, eff. 5/17/2017