By: Sibley S.B. No. 216
73R1275 DLF-D
A BILL TO BE ENTITLED
1-1 AN ACT
1-2 relating to uniform health insurance claim forms.
1-3 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-4 SECTION 1. Subchapter E, Chapter 3, Insurance Code, is
1-5 amended by adding Article 3.51-11 to read as follows:
1-6 Art. 3.51-11. UNIFORM HEALTH INSURANCE CLAIM FORMS. (a)
1-7 In this article, "health insurance policy" means an individual,
1-8 group, blanket, or franchise insurance policy, insurance agreement,
1-9 or group hospital service contract that provides benefits for
1-10 medical or surgical expenses incurred as a result of an accident or
1-11 sickness.
1-12 (b) The board by rule shall adopt a uniform health insurance
1-13 claim form to be used to claim a benefit payable under a health
1-14 insurance policy.
1-15 (c) An insurer may not require a person to submit a claim
1-16 for a benefit payable under a health insurance policy on a claim
1-17 form other than the uniform health insurance claim form.
1-18 SECTION 2. This Act takes effect September 1, 1993, and
1-19 applies only to a claim form used to claim a benefit under an
1-20 insurance policy on or after January 1, 1994. A claim form used to
1-21 claim a benefit under an insurance policy before January 1, 1994,
1-22 is governed by the law as it existed immediately before the
1-23 effective date of this Act, and that law is continued in effect for
1-24 that purpose.
2-1 SECTION 3. The importance of this legislation and the
2-2 crowded condition of the calendars in both houses create an
2-3 emergency and an imperative public necessity that the
2-4 constitutional rule requiring bills to be read on three several
2-5 days in each house be suspended, and this rule is hereby suspended.