Texas § IN.1201.153 - COVERAGE FOR INDIVIDUALS AGE 65 OR OLDER

§ IN.1201.153. COVERAGE FOR INDIVIDUALS AGE 65 OR OLDER

COVERAGE FOR INDIVIDUALS AGE 65 OR OLDER. (a) Notwithstanding Section 1201.152 or Clause (b) of the provision required by Section 1201.208 (a), an individual accident and health insurance policy delivered or issued for delivery to an individual who is 65 years of age or older may not include a provision that excludes from coverage a loss that occurs from a preexisting condition more than six months after the effective date of coverage under the policy. (b) Notwithstanding Subsection (a), the commissioner may authorize a policy provision that excludes coverage for a preexisting condition for a period of not more than one year if the commissioner determines that the provision would serve the public interest. (c) This section does not require an insurer to provide coverage for a loss from a preexisting condition specifically excluded from coverage by name or specific description in an exclusion endorsement or rider that is effective on the date of the loss. Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.