Tex.
Ins. Code Section 1217.001
Definitions
(1)
“Health benefit plan issuer” means an entity authorized under this code or another insurance law of this state that delivers or issues for delivery a health benefit plan or other coverage that is covered under this chapter as described by Section 1217.002 (Applicability of Chapter). The term includes:(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);(E)
a reciprocal exchange operating under Chapter 942 (Reciprocal and Interinsurance Exchanges);(F)
a health maintenance organization operating under Chapter 843 (Health Maintenance Organizations);(G)
a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846 (Multiple Employer Welfare Arrangements); or(H)
an approved nonprofit health corporation that holds a certificate of authority under Chapter 844 (Certification of Certain Nonprofit Health Corporations).(2)
“Health care services” includes medical or health care treatments, consultations, procedures, drugs, supplies, imaging and diagnostic services, inpatient and outpatient care, medical devices, and durable medical equipment. The term does not include prescription drugs as defined by Section 551.003 (Definitions), Occupations Code.
Source:
Section 1217.001 — Definitions, https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1217.htm#1217.001 (accessed Jun. 5, 2024).
