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Tex. Insurance Code § 1501.058

POWERS AND DUTIES OF COOPERATIVES

Texas · Texas Insurance Code · Status: effective

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Tex. Insurance Code § 1501.058, POWERS AND DUTIES OF COOPERATIVES, Texas, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/682610
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(a) A cooperative shall: (1) arrange for small or large employer health benefit plan coverage for small employer groups, large employer groups, and, subject to Section 1501.0581, eligible single-employee businesses that participate in the cooperative by contracting with small or large employer health benefit plan issuers that meet the requirements established by Section 1501.061; (2) collect premiums to cover the cost of: (A) small or large employer health benefit plan coverage purchased through the cooperative; and (B) the cooperative's administrative expenses; (3) establish administrative and accounting procedures for the operation of the cooperative; (4) establish procedures under which an applicant for or participant in coverage issued through the cooperative may have a grievance reviewed by an impartial person; (5) contract with small or large employer health benefit plan issuers to provide services to small or large employers covered through the cooperative; and (6) develop and implement a plan to maintain public awareness of the cooperative and publicize the eligibility requirements for, and the procedures for enrollment in, coverage through the cooperative. (b) A cooperative may: (1) contract with agents to market coverage issued through the cooperative; (2) contract with a small or large employer health benefit plan issuer or third-party administrator to provide administrative services to the cooperative; (3) negotiate the premiums paid by its members; and (4) offer other ancillary products and services to its members that are customarily offered in conjunction with health benefit plans. (c) A cooperative shall comply with: (1) federal laws applicable to cooperatives and health benefit plans issued through cooperatives, to the extent required by state law or rules adopted by the commissioner; and (2) state laws applicable to cooperatives and health benefit plans issued through cooperatives. (d) To be eligible to exercise the authority granted under Subsection (a)(1), a health group cooperative must have at least 10 participating employers.