This is a clone of the Texas Administrative Code (TAC) for educational purposes. It is not the official version and should not be used for legal purposes. Site created Wed, 21 May 2025 21:16:49 GMT

TITLE 28 - INSURANCE
PART 1 - TEXAS DEPARTMENT OF INSURANCE
CHAPTER 13 - MISCELLANEOUS INSURERS AND OTHER REGULATED ENTITIES
SUBCHAPTER F - PROFESSIONAL EMPLOYER ORGANIZATIONS SPONSORING SELF-FUNDED EMPLOYEE HEALTH BENEFIT PLANS
SECTION/RULE §13.521 - Applicable Insurance Code and Administrative Code Terms
Chapter Review Date 06/08/2021

For purposes of this subchapter and for purposes of regulation by TDI:(1) PEO as large employer. An approved PEO is a large employer as defined in Insurance Code Chapter 1501, concerning the Health Insurance Portability and Availability Act, unless a provision in this subchapter clearly indicates otherwise.(2) PEO plan as large employer health benefit plan. An approved PEO's plan is a large employer health benefit plan as defined in Insurance Code Chapter 1501 unless a provision in this subchapter clearly indicates otherwise.(3) Provisions applicable to both small and large employer plans. An Insurance Code or Administrative Code provision that refers to both small and large employer health benefit plans or their issuers applies to an approved PEO as a large employer health benefit plan issuer and to its plan as a large employer health benefit plan unless a provision in this subchapter clearly indicates otherwise.(4) Plan document is group policy. An approved PEO's plan document is a group policy unless a provision in this subchapter clearly indicates otherwise.(5) Certificate of coverage is certificate of insurance. An approved PEO's certificate of coverage is a certificate of insurance. An approved PEO's certificate of coverage must comply with ERISA, 29 U.S.C. §1022 (Summary plan description).

Source Note: The provisions of this §13.521 adopted to be effective May 17, 2016, 41 TexReg 3479.

View Official Rule