Sec. 1204.252.  PRECONDITIONS FOR PAYMENT;  EXCEPTIONS.  (a)  In accordance with the terms of the policy and this subchapter, an insurer or group hospital service corporation may be required to pay benefits under a group accident and health insurance policy to a person who is not a group member and who complies with:
(1)  Section 1204.251;
(2)  the insurer's or group hospital service corporation's claim application procedures;  and
(3)  department rules.
(b)  Any requirement imposed on a possessory or managing conservator of a child under this subchapter does not apply with regard to:
(1)  an unpaid medical bill for which an assignment of benefits has been exercised, whether in accordance with policy provisions or otherwise;  or
(2)  a claim presented by a group member for which the group member paid any portion of a medical bill that is covered under the policy's terms.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.