Section 26.406 - Standard Presentation Form(a) A health carrier offering coverage through a health group cooperative must use a standard presentation form for employer members of the health group cooperative that includes the information listed in subsection (b) of this section. A standard presentation form may include additional information.(b) A standard presentation form must include, at a minimum: (1) an explanation that the coverage is being offered through a health group cooperative;(2) the name of the health group cooperative;(3) an explanation of small employers' eligibility to join the health group cooperative and purchase coverage without regard for membership in any other organization or the health status or claims experience of the employer and employees;(4) an explanation of any fees or charges associated with membership in the health group cooperative;(5) a statement that coverage is available to a small employer on a guaranteed-issue basis from any health carrier offering coverage in the small employer market with no requirement of joining a health group cooperative;(6) for multiple plans that are offered through the health group cooperative, an explanation that the employer may select any of the plans without limitation due to health status or claims experience;(7) a description of the plans offered through the health group cooperative by the health carrier; and(8) if coverage is offered under Insurance Code Chapter 1507 (concerning Consumer Choice of Benefits Plans), a written disclosure in compliance with Chapter 21, Subchapter AA (relating to Consumer Choice Health Benefit Plans).28 Tex. Admin. Code § 26.406
The provisions of this §26.406 adopted to be effective August 31, 2004, 29 TexReg 8360; Amended by Texas Register, Volume 42, Number 19, May 12, 2017, TexReg 2560, eff. 5/17/2017