Tex. Ins. Code Section 1360.002
Applicability of Chapter

This chapter applies only to a group health benefit plan delivered or issued for delivery in this state that:


provides benefits for dental, medical, or surgical expenses incurred as a result of a health condition, accident, or sickness, including:


a group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, or a group evidence of coverage that is offered by:
an insurance company;
a group hospital service corporation operating under Chapter 842 (Group Hospital Service Corporations);
a fraternal benefit society operating under Chapter 885 (Fraternal Benefit Societies);
a stipulated premium company operating under Chapter 884 (Stipulated Premium Insurance Companies); or
a health maintenance organization operating under Chapter 843 (Health Maintenance Organizations); and


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 multiple employer welfare arrangement as defined by Section 3 of that Act;
an entity not authorized under this code or another insurance law of this state that contracts directly for health care services on a risk-sharing basis, including a capitation basis; or
another analogous benefit arrangement; or


is offered by an approved nonprofit health corporation that holds a certificate of authority under Chapter 844 (Certification of Certain Nonprofit Health Corporations).
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.

Source: Section 1360.002 — Applicability of Chapter, https://statutes.­capitol.­texas.­gov/Docs/IN/htm/IN.­1360.­htm#1360.­002 (accessed Dec. 2, 2023).

Dec. 2, 2023

§ 1360.002’s source at texas​.gov