# Tex. Insurance Code § 1252.102: EXTENSION OF BENEFITS PROVISION; EXEMPTION

> Texas · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1252_S1252.102

## Section

- **Citation:** Tex. Insurance Code § 1252.102
- **Heading:** EXTENSION OF BENEFITS PROVISION; EXEMPTION
- **Jurisdiction:** Texas
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** TX Code / Code in / Chapter 1252 / Section 1252.102

## Text

(a) A health benefit plan must contain, subject to this section and Section 1252.103, a reasonable provision providing for an extension of benefits for a total disability that exists on the date of the plan's discontinuation.

(b) A health benefit plan must contain a reasonable extension of benefits provision for coverage for hospital or medical expenses other than dental expenses. A provision is considered reasonable if it provides to an individual who is covered under the plan and who is totally disabled on the date of the plan's discontinuation an extension of benefits for expenses incurred in treating the condition causing the total disability and the extension is provided for at least the lesser of:

(1) 90 days; or

(2) the duration of the total disability.

(c) An extension of benefits provision required under this section may provide for an exclusion from coverage for an individual whose coverage is being discontinued and replaced with coverage that:

(1) is provided by a succeeding carrier; and

(2) provides a level of benefits that is at least substantially equal to the level of benefits provided under the replaced health benefit plan.

(d) An applicable extension of benefits provision must be described in the policy or contract and the group insurance certificate.

(e) Benefits payable during an extension period may be subject to the regular benefit limits of the health benefit plan.

(f) This section does not apply to a health benefit plan that was delivered or issued for delivery in this state before January 1, 1982, and whose level of benefits has not been modified after December 31, 1981.

## Nearby sections

- [Tex. Insurance Code § 1252.001 § 1252.001. DEFINITIONS.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1252_S1252.001.md)
- [Tex. Insurance Code § 1252.002 § 1252.002. APPLICABILITY OF CHAPTER.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1252_S1252.002.md)
- [Tex. Insurance Code § 1252.003 § 1252.003. COVERAGE ISSUED ON GROUP-TYPE BASIS.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1252_S1252.003.md)
- [Tex. Insurance Code § 1252.101 § 1252.101. NOTICE OF DISCONTINUATION OF COVERAGE.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1252_S1252.101.md)
- [Tex. Insurance Code § 1252.102 § 1252.102. EXTENSION OF BENEFITS PROVISION; EXEMPTION.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1252_S1252.102.md)
- [Tex. Insurance Code § 1252.103 § 1252.103. INDEMNITY OR BENEFITS PAYABLE FOR DISABILITY.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1252_S1252.103.md)
- [Tex. Insurance Code § 1252.104 § 1252.104. LIABILITY FOR LOSS UNDER AUTOMATICALLY DISCONTINUED COVERAGE.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1252_S1252.104.md)
- [Tex. Insurance Code § 1252.201 § 1252.201. TOTAL DISABILITY STATUS.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1252_S1252.201.md)
- [Tex. Insurance Code § 1252.202 § 1252.202. EFFECTIVE DATE OF COVERAGE UNDER REPLACEMENT PLAN.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1252_S1252.202.md)
- [Tex. Insurance Code § 1252.203 § 1252.203. EXTENSION OF BENEFITS FOR TOTAL DISABILITY.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1252_S1252.203.md)
- [Tex. Insurance Code § 1252.204 § 1252.204. COVERAGE FOR PREEXISTING CONDITIONS.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1252_S1252.204.md)
- [Tex. Insurance Code § 1252.205 § 1252.205. WAITING PERIOD.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1252_S1252.205.md)
- [Tex. Insurance Code § 1252.206 § 1252.206. DETERMINATION OF BENEFITS AVAILABLE UNDER REPLACED PLAN.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1252_S1252.206.md)
- [Tex. Insurance Code § 1252.207 § 1252.207. LIABILITY OF PREVIOUS CARRIER.](https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1252_S1252.207.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TX_Cin_C1252_S1252.102. Check the current official text before relying on it. Not legal advice.