Amend SB 29 by inserting the following appropriately numbered
SECTION and renumbering the remaining SECTIONS of the bill
accordingly.
SECTION ____. Article 3.96-8, Insurance Code, is amended to
read as follows:
Art. 3.96-8. SERVICE AREA RESTRICTIONS PROHIBITED. (a) An
insurer shall provide to a covered child who lives outside the
insurer's service area and whose coverage under a policy or plan is
required by a medical support order coverage that is similar to the
coverage provided to other dependents under that policy or plan.
For the purposes of this subsection, "similar coverage" may include
coverage under which the insurer uses different procedures for
service delivery, health care provider reimbursement, and payment
by or on behalf of the covered child.
(b) The insurer may not enforce otherwise applicable
provisions that would deny coverage<, limit, or reduce payment for
claims> for a covered child who lives outside the insurer's
coverage territory but inside the United States.
(c) Unless a premium is unreasonable with respect to the
coverage provided, or is discriminatory, excessive, or inadequate,
the insurer may charge a different premium for similar coverage if
the insurer computes the premium according to actuarial formulas or
methods.