Ins. Code Section 1355.253
(a)This subchapter does not apply to:
(1)a plan that provides coverage:
(A)for wages or payments in lieu of wages for a period during which an employee is absent from work because of sickness or injury;
(B)as a supplement to a liability insurance policy;
(C)for credit insurance;
(D)only for dental or vision care;
(E)only for hospital expenses;
(F)only for indemnity for hospital confinement; or
(G)only for accidents;
(2)a Medicare supplemental policy as defined by Section 1882(g)(1), Social Security Act (42 U.S.C. Section 1395ss(g)(1));
(3)a workers’ compensation insurance policy;
(4)medical payment insurance coverage provided under a motor vehicle insurance policy; or
(5)a long-term care policy, including a nursing home fixed indemnity policy, unless the commissioner determines that the policy provides benefit coverage so comprehensive that the policy is a health benefit plan as described by Section 1355.252 (Applicability of Subchapter).
(b)To the extent that this section would otherwise require this state to make a payment under 42 U.S.C. Section 18031(d)(3)(B)(ii), a qualified health plan, as defined by 45 C.F.R. Section 155.20, is not required to provide a benefit under this subchapter that exceeds the specified essential health benefits required under 42 U.S.C. Section 18022(b).
Section 1355.253 — Exceptions,
https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1355.htm#1355.253 (accessed Dec. 2, 2023).