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| Texas Health Insurance Pool
Page Links: Application
www.txhealthpool.org
Texas Health Insurance Pool 1-888-398-3927 TDD 1-800-735-2989 |
Table of Contents:
I. HB2064 Premium Discount Program / Instructions & Monthly Reporting Forms
II. Annual Assessment: Instructions, FAQ’s, & Assessment Reporting Forms
III. Additional Notices & Information
I. HB2064 Prompt Pay Premium Discount Program
Pool Premium Discount Program: HB 2064 (81st Legislature) created a premium discount subsidy program designed to assist Pool enrollees whose household incomes are at or below 300% of the federal poverty level. This program will be funded by a share of the penalties owed to medical providers, such as hospitals and physicians, by HMOs and Insurers, pursuant to Sections 843.342 & 1301.137 of the Insurance Code. The premium subsidies will be provided to eligible enrollees effective January 1, 2011.
Click on the following links for the reporting form and further information:
The Texas Health Insurance Pool is the state’s HIPAA mechanism and
insurer of last resort for Texans unable to obtain individual health
insurance due
to
their pre-existing medical conditions or other qualifying criteria. The
Pool may assess “health benefit plan issuers” pursuant to Chapter 1506
of the
Texas
Insurance Code. The Pool has developed reporting forms that will be
used to collect the 2012 data necessary to determine the 2012 Regular
Assessment and the 2013 Interim Assessment. Both the COVERED
LIVES REPORTING FORM and
the HEALTH BENEFIT PLAN PREMIUMS REPORTING
FORM
must be completed and returned by the April
18, 2013 due date, along
with all required supporting documentation.
Instructions & Reporting Forms
This is a fillable Adobe PDF document. Once completed, it can be printed and/or saved to your computer.
III. Click on the following links for additional information:
Obtain the Texas Health Insurance Pool Required Notice of Availability Form
(Required to be provided to a declined applicant or applicant approved with a medical rider.)
Please note that documents in Adobe Reader (pdf format)
require a recent version of the free software.
Use the following link to download: Adobe Reader