Prohibited Actions

Sec. 1367.206. PROHIBITED ACTIONS. Under the coverage required to be offered under this subchapter, a health benefit plan issuer may not: (1) apply the cost of rehabilitative and habilitative therapies described by Section 1367.205(a) to an annual or lifetime maximum plan benefit or similar provision under the plan; or (2) use the cost of rehabilitative or habilitative therapies described by Section 1367.205(a) as the sole justification for: (A) increasing plan premiums; or (B) terminating the insured's or enrollee's participation in the plan. Added by Acts 2005, 79th Leg., Ch. 728 (H.B. 2018), Sec. 11.040(a), eff. September 1, 2005.