Section 7.1802 - DefinitionsThe following words and terms, when used in this subchapter, have the following meanings, unless the context clearly indicates otherwise.
(1) Annual Statement--Annual statement most recently filed by the insurer or HMO with the Texas Department of Insurance.(2) Association coverage--Coverage under a health benefit plan issued to an association or bona fide association as those terms are defined in § 21.2702 of this title (relating to Association Plans).(3) Commissioner--Commissioner of Insurance.(4) Department--Texas Department of Insurance.(5) Individual coverage--Coverage issued by an HMO that provides an individual health care plan as defined in Insurance Code § 1271.004.(6) Large employer coverage--Coverage under a health benefit plan issued to a large employer as those terms are defined in § 26.4 of this title (relating to Definitions).(7) Line of insurance--Each line of business as specified in § 7.1803 of this title (relating to What Constitutes a Line of Insurance).(8) HMO--A health maintenance organization licensed under Insurance Code Chapter 843.(9) Medicaid--The Medicaid program under Title XIX of the Social Security Act of 1965.(10) Medicare--Has the same meaning as specified in § 3.3303 of this title (relating to Definitions).(11) Medicare+Choice plan--Has the same meaning as specified in § 3.3303 of this title.(12) Small employer coverage--Coverage under a health benefit plan issued to a small employer as those terms are defined in § 26.4 of this title.(13) Enrollees of special circumstances--As described in Insurance Code §§ 1301.152 - 1301.154 and § 843.362.(14) CHIP--The Texas Children's Health Insurance Program under Texas Health and Safety Code Chapter 62.(15) Withdrawal--The event that occurs when the actions of an insurer or HMO meets the criteria under Insurance Code § 827.003.(16) Rating territory--A county in Texas.28 Tex. Admin. Code § 7.1802
The provisions of this §7.1802 adopted to be effective July 22, 1993, 18 TexReg 4504; amended to be effective January 30, 2002, 27 TexReg 610; Amended by Texas Register, Volume 43, Number 24, June 15, 2018, TexReg 3902, eff. 6/19/2018