Do Texas insurance companies call domestic violence a pre-existing condition and deny Texans coverage? Yes, at least when it comes to half the insured in Texas. It’s a barbaric practice, and it should end.
That’s not all. Property insurance companies discriminate against homeowners (pdf) who are victims of domestic violence on the theory, I guess, that the violence might damage the property. To hell with its human victims.
Genevieve Van Cleve’s excellent essay makes clear the immorality and cruelty behind insurance company actions that punish victims of domestic violence.
Domestic violence is listed in the Texas Insurance Code and Texas Department of Insurance rules as part of a person’s “health status.” Here’s the operative paragraph, repeated in many places:
Health status related factor–Health status; medical condition, including both physical and mental illnesses; claims experience; receipt of health care; medical history; genetic information; evidence of insurability, including conditions arising out of acts of domestic violence; and disability.
HMOs and group policy underwriters are prohibited from denying coverage based on health status related factors. There is no such prohibition on individual policies. And, if a member of a group mispresents her health status, for instance, doesn’t disclose she has been victimized by domestic violence, premiums can be raised.
Texas wasn’t included among the states mentioned in the SEIU report that detailed the treatment of domestic violence as a pre-existing condition. But it’s a little misleading. Under many circumstances, insurance companies can punish victims of domestic violence.
Here’s the smoking gun from the Texas section of healthinsuranceinfo.net:
In Texas, your ability to buy an individual health insurance policy from a private insurance company depends on your health status.
· In general, companies that sell individual health insurance in Texas are free to turn you down because of your health status and other factors. When applying for individual health insurance, you may be asked questions about health conditions you have now or had in the past. Depending on your health status, insurers might refuse to sell you coverage or offer to sell you a policy that has special limitations on what it covers. If you are turned down or offered a policy with reductions or restrictions, you may be eligible for coverage from the Texas Health Insurance Pool.
However, under no circumstance may you be turned down, charged more, or face a pre-existing condition exclusion period by an individual insurer because of your genetic information. Genetic information includes the results of a genetic test and your family history of health conditions.
According to the Center for Public Policy Priorities (pdf), only about half the Texas population gets health insurance through an employer, one of the lowest rates in the nation. Forty-eight percent of those with insurance are on private plans. Others, approximately 6 million, are uninsured.
Domestic violence can be considered a pre-existing condition for Texans with individual policies, and insurers can deny coverage. What kind of cold-hearted monster would further punish a fellow citizen who has already suffered from domestic violence? What could justify such further acts of violence, which is what the denial of health insurance is? Do the kings of insurance spend the money they save on new televisions? On a vacation?
How badly do we need health care reform? Badly. Lives are at stake. And our souls. Advocacy groups like the Texas Council on Family Violence have done heroic work to protect victims and would-be victims of domestic violence. But it’s our responsibility to reform health care, and end such practices as the insurance industry abuse of victims of domestic violence.

$20 says Ellen Cohen fixes it next session.
Good point. I wouldn’t bet against it.