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Texas Department of Insurance
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Mandated Health Benefits

What Are The Mandated Health Benefits?

This page provides a link to a chart identifying the mandated benefits and their applicability to individual and small employer plans, large employer plans, and consumer choice plans. The chart identifies and provides links to the Texas statutory and regulatory citations that address each of the mandates.

Please keep in mind that these mandated benefits are applicable to the health benefit plans issued in Texas, and carriers issuing plans under the Affordable Care Act (ACA) will need to consider the impact of federal law on those plans. The Texas Department of Insurance has posted a chart regarding the essential health benefits required under the identified benchmark plan for ACA coverage in Texas. The essential health benefits chart may be accessed by clicking here.

Mandated Health Benefits - PDF format

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Last updated: 9/6/2014