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Texas Department of Insurance
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Cooperative Features Comparison

Private Purchasing Cooperative Small Employer Health Coalition Health Group Cooperative Health Group Cooperative
Private Purchasing Cooperative Yes Yes Yes Yes
Organized as non-profit corporation Yes Yes Yes Yes
Required to make initial filing with TDI Yes Yes Yes Yes
Required to make annual filing with TDI Yes Yes Yes Yes
Minimum Number of Employers 2 2 10 10
Maximum Number of Employers No limit - K * 25 No limit - K 25
Guaranteed Issue No Yes No Yes
Guaranteed Renewable No - K Yes Yes Yes
Minimum Employer commitment None - K None - K 2 years 2 years
Tax Treatment None None 2 year exemption from certain taxes for each uninsured employee or dependent 2 year exemption from certain taxes for each uninsured employee or dependent
Limited Coverage Options SB 541 SB 541 SB 10 or
SB 541
SB 10 or
SB 541
Maximum Group Size Not applicable 50 Not applicable 50
Composition Small or Large Employer Small employer Small or Large Employer, Eligible Single Employee Business if elected Small employer
Treated as single employer Only for benefit elections - K Yes - small employer Yes - large employer Yes - small employer
Self-insured/
self-funded
No No No No
Issuance Limits None None 1 per carrier per county, w/ permissive expanded service areas 1 per carrier per county, w/ permissive expanded service areas

For more information, contact: LifeHealth@tdi.texas.gov

Last updated: 9/24/2019