By Smithee                                            H.B. No. 2361
       74R2451 DLF-D
                                 A BILL TO BE ENTITLED
    1-1                                AN ACT
    1-2  relating to health insurance for employees of certain small
    1-3  employers.
    1-4        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-5        SECTION 1.  Article 26.02(23), Insurance Code, is amended to
    1-6  read as follows:
    1-7              (23)  "Small employer health benefit plan" means the
    1-8  preventive and primary care benefit plan, the in-hospital benefit
    1-9  plan, or the standard health benefit plan described by Subchapter E
   1-10  of this chapter.  The term does not include a nonstandard <or any
   1-11  other> health benefit plan offered to the employees of a small
   1-12  employer in accordance with Subchapter H of this chapter <Article
   1-13  26.42(d) of this code>.
   1-14        SECTION 2.  Article 26.06(a), Insurance Code, is amended to
   1-15  read as follows:
   1-16        (a)  Except as provided by Subchapter H of this chapter, an
   1-17  <An> individual or group health benefit plan is subject to this
   1-18  chapter if it provides health care benefits covering three or more
   1-19  eligible employees of a small employer and if it meets any one of
   1-20  the following conditions:
   1-21              (1)  a portion of the premium or benefits is paid by or
   1-22  on behalf of a small employer;
   1-23              (2)  a covered individual is reimbursed, whether
   1-24  through wage adjustments or otherwise, by or on behalf of a small
    2-1  employer for a portion of the premium; or
    2-2              (3)  the health benefit plan is treated by the employer
    2-3  or by a covered individual as part of a plan or program for the
    2-4  purposes of Section 106 or 162, Internal Revenue Code of 1986 (26
    2-5  U.S.C. Section 106 or 162).
    2-6        SECTION 3.  Article 26.42(d), Insurance Code, is amended to
    2-7  read as follows:
    2-8        (d)  Subject to Subchapter H <the provisions> of this
    2-9  chapter, a small employer carrier may also offer to small employers
   2-10  any other health benefit plan <authorized under this code.  Article
   2-11  26.06(c) does not apply to a health benefit plan offered to a small
   2-12  employer under this subsection>.
   2-13        SECTION 4.  Chapter 26, Insurance Code, is amended by adding
   2-14  Subchapter H to read as follows:
   2-15            SUBCHAPTER H.  NONSTANDARD HEALTH BENEFIT PLANS
   2-16        Art. 26.91.  SMALL EMPLOYER MAY OFFER NONSTANDARD PLAN.  A
   2-17  small employer may offer a nonstandard health benefit plan to the
   2-18  employees of the employer under this subchapter.
   2-19        Art. 26.92.  APPLICABILITY OF OTHER LAWS.  (a)  A nonstandard
   2-20  health benefit plan offered under this subchapter is not subject to
   2-21  Subchapters B-G of this chapter.
   2-22        (b)  A nonstandard health benefit plan offered under this
   2-23  subchapter is not subject to a law that requires:
   2-24              (1)  coverage or the offer of coverage of a health care
   2-25  service or benefit;
   2-26              (2)  coverage of a particular percentage or number of
   2-27  employees; or
    3-1              (3)  payment by the small employer of any portion of
    3-2  the premium for the coverage.
    3-3        Art. 26.93.  NOTICE TO EMPLOYEES.  Before providing coverage
    3-4  to employees under a nonstandard health benefit plan, a small
    3-5  employer must notify the employees:
    3-6              (1)  that coverage will be provided under a nonstandard
    3-7  health benefit plan;
    3-8              (2)  what portion of the premium the employer will pay,
    3-9  if any; and
   3-10              (3)  that the health benefit plan is not subject to a
   3-11  law described by Article 26.92(b) of this code.
   3-12        Art. 26.94.  PORTABILITY.  (a)  A nonstandard health benefit
   3-13  plan issued under this subchapter must include an option for each
   3-14  person covered by the plan to be covered under an individual
   3-15  contract providing identical coverage if, for any reason:
   3-16              (1)  the benefit plan is not renewed;
   3-17              (2)  the employment of the employee terminates;
   3-18              (3)  coverage of the employee under the nonstandard
   3-19  health benefit plan otherwise terminates.
   3-20        (b)  The individual to be covered under the individual
   3-21  contract is responsible for payment of premiums under the
   3-22  individual contract.
   3-23        (c)  The commissioner may adopt rules to implement this
   3-24  article.
   3-25        SECTION 5.  This Act takes effect September 1, 1995, and
   3-26  applies only to an insurance policy that is delivered, issued for
   3-27  delivery, or renewed on or after January 1, 1996.  A policy that is
    4-1  delivered, issued for delivery, or renewed before January 1, 1996,
    4-2  is governed by the law as it existed immediately before the
    4-3  effective date of this Act, and that law is continued in effect for
    4-4  that purpose.
    4-5        SECTION 6.  The importance of this legislation and the
    4-6  crowded condition of the calendars in both houses create an
    4-7  emergency and an imperative public necessity that the
    4-8  constitutional rule requiring bills to be read on three several
    4-9  days in each house be suspended, and this rule is hereby suspended.