Tex. Ins. Code Section 1207.001
Applicability of Chapter

This chapter applies only to a group health benefit plan, including a small employer health benefit plan written under Chapter 1501 (Health Insurance Portability and Availability Act), a plan provided under Chapter 1551 (Texas Employees Group Benefits Act), 1575 (Texas Public School Employees Group Benefits Program), or 1601 (Uniform Insurance Benefits Act for Employees of the University of Texas System and the Texas A&m University System), or a successor to a plan provided under one of those chapters, or a medical savings account plan or other health reimbursement arrangement authorized by law, that provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, including a group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, or a group evidence of coverage or similar group coverage document that is offered by:


an insurance company;


a group hospital service corporation operating under Chapter 842 (Group Hospital Service Corporations);


a fraternal benefit society operating under Chapter 885 (Fraternal Benefit Societies);


a stipulated premium company operating under Chapter 884 (Stipulated Premium Insurance Companies);


a reciprocal exchange operating under Chapter 942 (Reciprocal and Interinsurance Exchanges);


a health maintenance organization operating under Chapter 843 (Health Maintenance Organizations);


a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846 (Multiple Employer Welfare Arrangements); or


an approved nonprofit health corporation that holds a certificate of authority under Chapter 844 (Certification of Certain Nonprofit Health Corporations).
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Amended by:
Acts 2005, 79th Leg., Ch. 728 (H.B. 2018), Sec. 11.025(a), eff. September 1, 2005.

Source: Section 1207.001 — Applicability of Chapter, https://statutes.­capitol.­texas.­gov/Docs/IN/htm/IN.­1207.­htm#1207.­001 (accessed Nov. 25, 2023).

Nov. 25, 2023

§ 1207.001’s source at texas​.gov