28 Tex. Admin. Code § 11.501
Forms Which Must Be Approved Prior to Use
Effective Nov 15, 200631 TexReg 9298Source Note: The provisions of this §11.501 adopted to be effective January 1, 1980, 4 TexReg 4622; amended to be effective December 6, 1984, 9 TexReg 6011; amended to be effective December 4, 1987, 12 TexReg 4363; amended to be effective November 2, 1998, 23 TexReg 11347; amended to be effective November 15, 2006, 31 TexReg 9298.Texas Secretary of State
(a) No evidence of coverage or amendment thereto may be issued, delivered, or used in Texas unless it has been filed for review and has received the approval of the commissioner. The following forms are always considered to be part of the evidence of coverage:
- (1) group agreement;
- (2) certificate issued to each subscriber who is enrolled through a group. (The same form may be used as both the group agreement and the group certificate);
- (3) conversion and individual agreements;
- (4) group, conversion, and individual applications for coverage;
- (5) group subscriber enrollment form;
- (6) riders, endorsements, amendments, letters of agreement;
- (7) matrix filings; and
- (8) any other form attached to or made a part of the evidence of coverage.
- (b) Each of the forms described in subsection (a)(1) - (8) of this section shall be identified with a unique form number and shall be individually approved by the commissioner before being issued, delivered, or used in Texas. Each of the forms described in subsection (a)(1) - (8) of this section shall be considered a separate evidence of coverage filing and, except as provided in subsection (c) of this section, shall be subject to the filing fee prescribed in §7.1301(g)(4) of this title (relating to Regulatory Fees) for initial submissions. Each form that is resubmitted after withdrawal or disapproval will be assessed a fee of $50.
- (c) Notwithstanding the fee requirements prescribed in subsection (b) of this section, a fee of $50 per individual evidence of coverage provision, with a maximum fee of $500, is required for matrix filings, as listed in subsection (a)(7) of this section, whether the filing be an initial filing or a resubmission.
Source Note:The provisions of this §11.501 adopted to be effective January 1, 1980, 4 TexReg 4622; amended to be effective December 6, 1984, 9 TexReg 6011; amended to be effective December 4, 1987, 12 TexReg 4363; amended to be effective November 2, 1998, 23 TexReg 11347; amended to be effective November 15, 2006, 31 TexReg 9298.