Ins. Code Section 1357.052
Applicability of Subchapter
(1)provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, including:
(A)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:
(i)an insurance company;
(ii)a group hospital service corporation operating under Chapter 842 (Group Hospital Service Corporations);
(iii)a fraternal benefit society operating under Chapter 885 (Fraternal Benefit Societies);
(iv)a stipulated premium company operating under Chapter 884 (Stipulated Premium Insurance Companies); or
(v)a health maintenance organization operating under Chapter 843 (Health Maintenance Organizations); and
(B)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:
(i)a multiple employer welfare arrangement as defined by Section 3 of that Act; or
(ii)another analogous benefit arrangement;
(2)is offered by an approved nonprofit health corporation that holds a certificate of authority under Chapter 844 (Certification of Certain Nonprofit Health Corporations); or
(3)provides coverage only for a specific disease or condition or for hospitalization.
Section 1357.052 — Applicability of Subchapter,
https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1357.htm#1357.052 (accessed Dec. 2, 2023).