Texas Insurance Code, Chapters 1251, 1271, 1651, 1652, 4001, 4051 and 4054 (second half)

What this document is

Texas Insurance Code, Chapters 1251, 1271, 1651, 1652, 4001, 4051 and 4054 (second half) is a state statute published by Texas Legislative Council, statutes.capitol.texas.gov (retrieved via an Internet Archive snapshot of the official site). It is one of the Texas documents that insurance license exam questions are written from, including texas life & health, texas property & casualty practice questions. This page summarizes it and points to the official version, which is the text to rely on.

Sections cited in practice questions

Each practice answer shows the exact passage it comes from. These are sections of this document that questions cite, with a short excerpt from the source text.

• Tex. Ins. Code § 4001.201 (Appointment Required)

  “A person who obtains a license under this title may not engage in business as an agent unless the person has been appointed to act as an agent by an insurer designated by the provisions of this code and authorized to engage in business in this state.”

• Tex. Ins. Code § 1251.358(b) (Association as Eligible Blanket Policyholder)

  “To be eligible to obtain a blanket accident and health insurance policy, an association must: (1) have a constitution and bylaws; and (2) have been organized and be maintained in good faith for purposes other than that of obtaining insurance.”

• Tex. Ins. Code § 1251.401 (Individual Application and Certificate Not Required)

  “An individual application from an insured under a blanket accident and health insurance policy is not required. (b) An insurer is not required to provide a certificate to each insured under a blanket accident and health insurance policy.”

• Tex. Ins. Code § 4054.052(b) (Combination Life Insurance Agent)

  “A person may not act as a combination life insurance agent for a combination company unless the person holds a general life, accident, and health license or a life agent license.”

• Tex. Ins. Code § 1251.303 (Physical Examination Not Required)

  “Sec. 1251.303. PHYSICAL EXAMINATION NOT REQUIRED. An individual who exercises the option to continue group coverage under this subchapter may not be required to take and pass a physical examination as a condition to continuing coverage.”

• Tex. Ins. Code § 1251.305 (Amount of Premium)

  “Except as provided by Section 1551.064 , the premium for continuation of a spouse or dependent on the group health insurance policy or contract may not be more than the premium charged under the group policy or contract for the individual had the family relationship not been severed.”

• Tex. Ins. Code § 1251.257(a) (Premium for Converted Policy)

  “An insurer shall determine the premium for a converted policy issued under this subchapter in accordance with the insurer's table of premium rates for coverage that was provided under the group policy. The premium: (1) must be based on the type of converted policy and the coverage provided by the...”

• Tex. Ins. Code § 1271.057 (Discretionary Clauses Prohibited)

  “An evidence of coverage may not contain a discretionary clause provision. (b) A discretionary clause provision includes a provision that: (1) purports or acts to bind the enrollee to, or grant deference in subsequent proceedings to, adverse eligibility or benefit decisions or interpretations of the...”

• Tex. Ins. Code § 4051.054(a) (Deceased, Disabled, or Insolvent Agents; Emergency License)

  “If a property and casualty agent dies, becomes disabled, or is found to be insolvent and unable to pay for premiums as they become due to an insurer, the department may issue, without examination, to an applicant for a property and casualty agent license an emergency license on receipt of proof...”

• Tex. Ins. Code § 4001.101(d) (License or Certificate of Authority Required)

  “This subchapter does not permit an employee or agent of a corporation or partnership to perform an act of an agent under this title without obtaining: (1) a license; and (2) if required by rules adopted under Chapter 4008 , a certificate to sell a designated product or product line.”

• Tex. Ins. Code § 1271.054(a) (Information About Complaints and Appeals)

  “An evidence of coverage must contain a clear and understandable description of the health maintenance organization's methods for resolving enrollee complaints, including: (1) the enrollee's right to appeal denial of an adverse determination to an independent review organization; and (2) the...”

• Tex. Ins. Code § 4051.053 (Authority to Write Certain Accident and Health Insurance)

  “A person who holds a general property and casualty license may, without holding a license under Chapter 4054 , write health and accident insurance for a property and casualty insurer authorized to sell those insurance products in this state.”

Practice this material

Questions about this source

More Texas sources

• Texas Government Code ch. 2001 -- Administrative Procedure Act, complete (Secs. 2001.001-2001.903)State statute
• Texas Government Code Chapter 2253, Public Work Performance and Payment Bonds, complete: Subchapters A-D, Secs. 2253.001-2253.079State statute
• Tex. Ins. Code ch. 541: Unfair methods of competition and unfair or deceptive acts or practicesState statute
• Tex. Ins. Code ch. 1101: Life insurance required and prohibited policy provisionsState statute
• Tex. Ins. Code ch. 4001: Agent licensing in generalState statute
• Tex. Ins. Code ch. 4005: Conduct, disciplinary actions, and sanctionsState statute
• Tex. Ins. Code ch. 1201: Accident and health insurance policy provisionsState statute
• Texas Insurance Code Chapter 151, Consolidated Insurance Programs, complete: Subchapters A-D, Secs. 151.001-151.151State statute