89th Legislature

SB 1332

Overall Vote Recommendation
Yes
Principle Criteria
Free Enterprise
Property Rights
Personal Responsibility
Limited Government
Individual Liberty
Digest

SB 1332 proposes targeted amendments to the Texas Insurance Code to address the handling of late notices regarding terminated eligibility for individuals covered under group health benefit plans. Specifically, the bill adds new subsections to Sections 843.210 and 1301.0061, which govern health maintenance organizations (HMOs) and traditional health insurers, respectively.

Under the proposed changes, if a group policyholder or contract holder informs the insurer or HMO of an individual’s ineligibility after the end of the month in which eligibility terminated, the insurer may choose to waive the policyholder’s obligation to pay premiums for any following months—so long as no health services were used by the individual during that time. In effect, this provision allows insurers and HMOs to forgive premium payments under limited conditions, reducing unnecessary costs due to administrative delays.

This bill responds to practical issues encountered by employers and insurance providers in managing coverage changes, particularly when employees leave a job or otherwise lose eligibility. By granting discretion to waive premiums in such cases, the legislation supports administrative flexibility and economic fairness, ensuring that payment is not required for periods when coverage was not effectively in place or utilized. It maintains the voluntary nature of this waiver, placing no mandate on insurers or HMOs but rather empowering them to extend leniency in justifiable cases.

Author
Kelly Hancock
Co-Author
Cesar Blanco
Sponsor
Lacey Hull
Co-Sponsor
Trey Wharton
Fiscal Notes

According to the Legislative Budget Board (LBB), SB 1332 is not expected to result in any significant fiscal impact to the State of Texas. The agencies involved, including the Texas Department of Insurance and the Employees Retirement System, indicated that any administrative costs stemming from the implementation of the bill could be managed within their existing budgetary resources.

For local governments, the bill also presents no significant fiscal implications. Because SB 1332 only permits — rather than mandates — health insurance providers to waive premium liabilities under specific conditions, its impact is anticipated to be limited to administrative adjustments in processing group plan terminations and eligibility updates. It does not introduce new spending obligations or revenue changes for state or local entities.

The absence of a mandated waiver and the bill’s narrow scope contribute to its minimal budgetary footprint, underscoring that the legislation is primarily procedural and facilitative in nature. This fiscal neutrality supports the bill's alignment with principles of limited government and responsible governance.

Vote Recommendation Notes

Texas Policy Research recommends that lawmakers vote YES on SB 1332 based on its narrowly tailored scope and clear alignment with core liberty principles, including free enterprise, personal responsibility, and limited government. The bill offers a pragmatic fix to a rigid feature of current insurance law — namely, the requirement for employers to continue paying premiums on former employees' health coverage even if the termination notification to the insurer is delayed and no services were used.

As outlined in the bill analysis, this inflexibility results in unnecessary financial burdens on employers for coverage that provides no actual benefit. SB 1332 remedies this by giving insurers and HMOs the option — not the obligation — to waive these premium payments, provided that no healthcare services were accessed after the eligibility termination date. This strikes a balance between administrative flexibility and fiscal responsibility, ensuring employers are not penalized for clerical delays when no actual risk or cost is incurred by the insurer.

The bill involves no mandate, imposes no new regulatory burdens, and results in no significant fiscal impact to the state or local governments, as confirmed by the Legislative Budget Board. Furthermore, it maintains private-sector discretion while reducing waste and enhancing fairness in employer-sponsored health coverage processes.

By preserving employer protections and encouraging reasonable insurance practices without expanding governmental authority or creating new entitlements, SB 1332 is consistent with both market-friendly policy objectives and the responsible administration of group health plans.

  • Individual Liberty: While the bill does not directly regulate individual actions, it respects the principle that individuals and entities should not be burdened with obligations for benefits that are not being received. By permitting insurers to waive premiums in cases where no services were used after an employee’s eligibility ended, it ensures no party is compelled to pay for coverage that effectively didn’t exist — preserving fairness in contractual relationships and avoiding involuntary financial impositions.
  • Personal Responsibility: The bill recognizes that administrative errors or delays can happen even when employers act in good faith. However, it still requires employers to notify insurers of changes — the waiver is discretionary and conditional. This balance maintains an expectation of responsibility while not punishing reasonable lapses when no harm occurred, encouraging proactive behavior without undue penalty.
  • Free Enterprise: The bill directly reduces the risk of arbitrary costs to businesses and may encourage more employers, especially small ones, to offer health benefits, knowing that unintentional late notifications won’t always trigger unavoidable expenses. By reducing unnecessary financial liabilities, the bill promotes a more predictable and efficient business environment — a hallmark of a healthy free-market system.
  • Private Property Rights: The bill does not directly alter or infringe upon private property rights but indirectly supports them by preventing the de facto appropriation of resources (premium payments) for benefits not rendered. It ensures that insurers do not collect funds when no service was provided and that businesses retain their capital unless value was exchanged.
  • Limited Government: Importantly, the bill does not mandate any action — it authorizes flexibility within the private sector. The decision to waive premiums lies solely with the insurer or HMO, not the state. This preserves market-based decision-making and minimizes government intrusion, reinforcing the principle of limited government.
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