Tex. Ins. Code § 1201.060

Current with legislation from the 2023 Regular and Special Sessions signed by the Governor as of November 21, 2023.
Section 1201.060 - Required Definition of "Emergency Care" in Individual or Group Policy

An individual or group accident and health insurance policy that provides an emergency care benefit, including a policy issued by a corporation operating under Chapter 842, must define "emergency care" as follows:

"Emergency care" means bona fide emergency services provided after the sudden onset of a medical condition manifesting itself by acute symptoms of sufficient severity, including severe pain, such that the absence of immediate medical attention could reasonably be expected to result in:

(1) placing the patient's health in serious jeopardy;
(2) serious impairment to bodily functions; or
(3) serious dysfunction of any bodily organ or part.

Tex. Ins. Code § 1201.060

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. 4/1/2005.