Tex. Ins. Code Section 1358.002
Applicability of Subchapter

This subchapter applies only to a health benefit plan that provides benefits for 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);

(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; and

(3)

health and accident coverage provided by a risk pool created under Chapter 172 (Texas Political Subdivisions Uniform Group Benefits Program), Local Government Code, notwithstanding Section 172.014 (Application of Certain Laws), Local Government Code, or any other law.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.

Source: Section 1358.002 — Applicability of Subchapter, https://statutes.­capitol.­texas.­gov/Docs/IN/htm/IN.­1358.­htm#1358.­002 (accessed May 4, 2024).

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Accessed:
May 4, 2024

§ 1358.002’s source at texas​.gov