Ins. Code Section 1216.002
Applicability of Chapter
(a)This chapter applies only to a health benefit plan that provides benefits for health care services, including medical or surgical expenses, incurred as a result of a health condition, accident, or sickness, including:
(1)an individual, group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, or an individual or group evidence of coverage that is offered by:
(A)an insurance company;
(B)a group hospital service corporation operating under Chapter 842 (Group Hospital Service Corporations);
(C)a fraternal benefit society operating under Chapter 885 (Fraternal Benefit Societies);
(D)a stipulated premium company operating under Chapter 884 (Stipulated Premium Insurance Companies); or
(E)a health maintenance organization operating under Chapter 843 (Health Maintenance Organizations); and
(2)to the extent permitted by the Employee Retirement Income Security Act of 1974 (29 U.S.C. Section 1001 et seq.), a health benefit plan that is offered by:
(A)a multiple employer welfare arrangement as defined by Section 3 of that Act; or
(B)another analogous benefit arrangement.
(b)For purposes of Subsection (a), a health benefit plan includes a consumer choice of benefits plan issued under Chapter 1507 (Consumer Choice of Benefits Plans).
Section 1216.002 — Applicability of Chapter,
https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1216.htm#1216.002 (accessed Dec. 2, 2023).