Tex.
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).
Source:
Section 1216.002 — Applicability of Chapter, https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1216.htm#1216.002 (accessed Jun. 5, 2024).
