Texas Department of Insurance

Life and Health Insurance

• Accident and Health
• Cooperatives and Coalitions
• Filings Intake
• Health Maintenance Organizations (HMOs)
• Independent Review Organizations (IROs)  
• Life, Annuity and Credit
• Life and Health Data Calls  
• Utilization Review Agents (URAs)
• LHL Technical Advisory Committees
• Medicare Advantage Marketing Guidelines and Resource Page – New rules, bulletins and other information for the industry and agents involved in marketing Medicare Advantage plans.

Life and Health

• The Impact of Mandated Health Benefits 1998 (HTML Version) | (Adobe PDF Version)
• Milliman & Robertson Cost Impact Study of Mandated Health Benefits in Texas / Report #1 - 2000 (Adobe PDF)
• Milliman & Robertson Cost Impact Study of Mandated Health Benefits in Texas / Report #2 - 2000 (Adobe PDF)
• Myths & Reality - Tips for Faster Policy Review. (Excerpts from Reprint of Texas Insurance News Article, June 1998.)
• Texas Mandated Benefits/Offers/Coverages
• 2002 Life/Health - Licensing Compliance Workshop Introduction and Presentation Materials
• Exhibit A - Exclusions, Reductions and Limitations for Individual Health Provisions (.pdf format)
• Figures for Mandatory Benefit Notices: 28 TAC § 21.2106
• Notice of Availability of Coverage Under the Texas Health Insurance Risk Pool, §21.2305 Form (.pdf format)
• HIV Consent Form(.pdf format)
• Federal HIPAA Information
• Bulletin that provides a detailed explanation of the federal and state law which regulate union and ERISA plans    

Filings Intake

• FAQs About Form Filing Requirements
• Most Common Rejections For Life And Accident & Health Form Filings
• List of Form Filing Fees
• NEW - Implementation of the form filing fee billing system, pursuant to 28 TAC §§7.1301 and 7.1302 (effective on February 1, 2005).

Required Certifications Form and Checklists

• Transmittal Form for Certain Miscellaneous Documents For Life/Health
• NEW - Transmittal Checklist for Life/Health Form Filings
• Summary of Exempt Forms (Download Only, 24K, MS Word, lh_exmpt.zip)    

For more information contact: