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 21:16:50 GMT

TITLE 28 - INSURANCE
PART 1 - TEXAS DEPARTMENT OF INSURANCE
CHAPTER 21 - TRADE PRACTICES
SUBCHAPTER Z - DATA COLLECTING AND REPORTING RELATING TO MANDATED HEALTH BENEFITS AND MANDATED OFFERS OF COVERAGE
SECTION/RULE ยง21.3402 - Definitions
Chapter Review Date 06/08/2021

The following words and terms, when used in this subchapter, have the following meanings unless the context clearly indicates otherwise:(1) Claims incurred--Paid claims plus amounts held in reserve for claims that have been incurred but have not yet been paid.(2) Direct premium--The amount of health premiums earned for comprehensive health coverage as reported on an issuer's submission to the NAIC for the year for which it is reporting data.(3) Health benefit plan--A health benefit plan regulated under Insurance Code