Texas Insurance Code 2054.603 – Considerations and Guiding Principles for Developing Health Benefit Coverage Offerings
Terms Used In Texas Insurance Code 2054.603
- Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
(a) In developing health benefit coverage or health benefit plan options to be offered through a subsidiary of the company, the company shall fully explore all health coverage options that may be offered under this subchapter and place emphasis on:
(1) increasing competition in the health insurance market;
(2) utilizing innovations that improve the quality of health care while lowering health care costs;
(3) ensuring adequacy of benefits and access to care for individuals in this state with preexisting conditions;
(4) issuing coverage in a manner that does not discriminate against individuals with preexisting conditions;
(5) leveraging federal tax credits that may be available for private health benefit plans to the greatest extent possible to increase the affordability of health benefit plans;
(6) ensuring transparency and coherence of costs and coverage to inform individuals shopping for health benefits;
(7) reducing incidences of medical debt faced by individuals in this state and uncompensated care faced by providers in this state; and
(8) ensuring equitable costs regardless of gender or prospects of pregnancy or childbirth.