Texas Insurance Code 1201.060 – Required Definition of “Emergency Care” in Individual or Group Policy
Current as of: 2024 | Check for updates
|
Other versions
An individual or group accident and health insurance policy that provides an emergency care benefit, including a policy issued by a corporation operating under Chapter 842, must define “emergency care” as follows:
“Emergency care” means bona fide emergency services provided after the sudden onset of a medical condition manifesting itself by acute symptoms of sufficient severity, including severe pain, such that the absence of immediate medical attention could reasonably be expected to result in:
(1) placing the patient’s health in serious jeopardy;
(2) serious impairment to bodily functions; or
(3) serious dysfunction of any bodily organ or part.
Terms Used In Texas Insurance Code 1201.060
- Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.